Healthcare Provider Details

I. General information

NPI: 1013854280
Provider Name (Legal Business Name): SUNFLOWER SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 GEORGIA AVE NW APT 325
WASHINGTON DC
20012-2673
US

IV. Provider business mailing address

6800 GEORGIA AVE NW APT 325
WASHINGTON DC
20012-2673
US

V. Phone/Fax

Practice location:
  • Phone: 202-718-8641
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: KEKELI TAYLOR
Title or Position: CEO
Credential:
Phone: 202-718-8641