| Sunshine Therapeutic Group Home Llc | |
|
4907 Highway 84 W Vidalia LA 71373-3579 | |
| (601) 807-3833 | |
| Not Available |
| Full Name | Sunshine Therapeutic Group Home Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 4907 Highway 84 W, Vidalia, Louisiana |
| Authorized Official Name and Position | Tina Bruce (OWNER) |
| Authorized Official Contact | 6018073833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Therapeutic Group Home Llc 4907 Highway 84 W Vidalia LA 71373-3579 Ph: () - | Sunshine Therapeutic Group Home Llc 4907 Highway 84 W Vidalia LA 71373-3579 Ph: (601) 807-3833 |
| NPI Number | 1790451839 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 08/19/2021 |
| Certification Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790451839 | NPI | - | NPPES |
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