| Sunflower Health Care Resources | |
|
7826 Eastern Ave Nw Ste 206 Washington DC 20012-1333 | |
| (240) 350-8854 | |
| (202) 788-2687 |
| Full Name | Sunflower Health Care Resources |
|---|---|
| Speciality | Clinic/Center |
| Location | 7826 Eastern Ave Nw Ste 206, Washington, District Of Columbia |
| Authorized Official Name and Position | Ancella Fominyam (PROVIDER) |
| Authorized Official Contact | 2403508854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunflower Health Care Resources 7826 Eastern Ave Nw Ste 206 Washington DC 20012-1333 Ph: (240) 350-8854 | Sunflower Health Care Resources 7826 Eastern Ave Nw Ste 206 Washington DC 20012-1333 Ph: (240) 350-8854 |
| NPI Number | 1851000707 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Medicare PECOS PAC ID | 1759751654 |
|---|---|
| Medicare Enrollment ID | O20230111001230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851000707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ancella Fominyam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558951285 PECOS PAC ID: 3375913270 Enrollment ID: I20230111001457 |
| Provider Name | Wendy N Soh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932454535 PECOS PAC ID: 1557731452 Enrollment ID: I20230711004396 |
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