Healthcare Provider Details

I. General information

NPI: 1649318064
Provider Name (Legal Business Name): SUNNY ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 WESTPORT RD SUITE 112
LOUISVILLE KY
40242-3100
US

IV. Provider business mailing address

8700 WESTPORT RD SUITE 112
LOUISVILLE KY
40242-3100
US

V. Phone/Fax

Practice location:
  • Phone: 502-425-4726
  • Fax: 502-425-7560
Mailing address:
  • Phone: 502-425-4726
  • Fax: 502-425-7560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CURTIS WIGGINS I
Title or Position: OWNER
Credential:
Phone: 502-425-4726