Healthcare Provider Details

I. General information

NPI: 1427972330
Provider Name (Legal Business Name): A SUNSHINE RECOVERY HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

3137 SE 8TH PL
CAPE CORAL FL
33904-3514
US

IV. Provider business mailing address

2035 EVEREST PKWY
CAPE CORAL FL
33904-3289
US

V. Phone/Fax

Practice location:
  • Phone: 239-299-5277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: PAFOUA VANG XIONG
Title or Position: OWNER
Credential:
Phone: 651-260-6048