Healthcare Provider Details

I. General information

NPI: 1720945777
Provider Name (Legal Business Name): SONORAN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 ROUTE 168 STE A5
TURNERSVILLE NJ
08012-3207
US

IV. Provider business mailing address

900 ROUTE 168 STE A5
TURNERSVILLE NJ
08012-3207
US

V. Phone/Fax

Practice location:
  • Phone: 609-724-8573
  • Fax:
Mailing address:
  • Phone: 609-724-8573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: LANETTE KEETON
Title or Position: CEO/FOUNDER
Credential:
Phone: 609-556-7783