Healthcare Provider Details

I. General information

NPI: 1639125099
Provider Name (Legal Business Name): SUN HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14502 W MEEKER BLVD
SUN CITY WEST AZ
85375-5282
US

IV. Provider business mailing address

PO BOX 29892
PHOENIX AZ
85038-9892
US

V. Phone/Fax

Practice location:
  • Phone: 623-214-4001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License NumberH0168
License Number StateAZ

VIII. Authorized Official

Name: JO ADKINS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 623-214-4001