Organization
SUNSHINE VILLAGE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUDHAKAR S. VAMATHEVAN (CHIEF FINANCIAL OFFICER)
(413) 592-6142
Entity
Organization
Contact information
Practice address
75 LITWIN LN, CHICOPEE, MA 01020-4898
(413) 592-6142
(413) 598-0478
Mailing address
75 LITWIN LN, CHICOPEE, MA 01020-4898
(413) 592-6142
(413) 598-0478
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303228
—
MA
05
—
1304411
—
MA
05
—
1310712
—
MA
05
—
1310747
—
MA
05
—
1311751
—
MA
05
—
1317580
—
MA
Enumeration date
08/25/2006
Last updated
06/17/2008
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