MEDICARE: SUNLIGHT SUPPORT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1356764807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNLIGHT SUPPORT INC

Provider Business Mailing Address
First Line	:	8055 O ST STE 119B
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2565
Country	:	US
Telephone Number	:	402-206-9544
Fax Number	:	877-223-5550

Provider Business Practice Location Address
First Line	:	8055 O ST STE 119B
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2565
Country	:	US
Telephone Number	:	402-206-9544
Fax Number	:	877-223-5550

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JANET OSORO
Credential	:
Telephone Number	:	402-206-9544

Provider Enumeration Date	:	02/03/2014
Last Update Date	:	07/09/2024

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Directions to “SUNLIGHT SUPPORT INC ” Practice Location

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