Healthcare Provider Details

I. General information

NPI: 1356255657
Provider Name (Legal Business Name): SUNSHINE LOVE ALF II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 NE 10TH LN
CAPE CORAL FL
33909-1404
US

IV. Provider business mailing address

830 NE 10TH LN
CAPE CORAL FL
33909-1404
US

V. Phone/Fax

Practice location:
  • Phone: 239-217-0560
  • Fax: 239-673-8056
Mailing address:
  • Phone: 239-217-0560
  • Fax: 239-673-8056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: AUDIS DIAZ
Title or Position: OWNER
Credential:
Phone: 645-217-3837