Healthcare Provider Details

I. General information

NPI: 1912677915
Provider Name (Legal Business Name): SUNNYFLOWER TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2021
Last Update Date: 10/20/2021
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 SW FILLMORE ST APT 19
TOPEKA KS
66611-1289
US

IV. Provider business mailing address

PO BOX 8561
TOPEKA KS
66608-0561
US

V. Phone/Fax

Practice location:
  • Phone: 785-230-7426
  • Fax:
Mailing address:
  • Phone: 785-230-7426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. SARAH RENEE FINAN
Title or Position: OWNER
Credential:
Phone: 785-230-9606