Healthcare Provider Details

I. General information

NPI: 1023158003
Provider Name (Legal Business Name): SUNSHINE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 10/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2458 HARRY WURZBACH RD
SAN ANTONIO TX
78209-5002
US

IV. Provider business mailing address

2458 HARRY WURZBACH RD
SAN ANTONIO TX
78209-5002
US

V. Phone/Fax

Practice location:
  • Phone: 210-804-1663
  • Fax:
Mailing address:
  • Phone: 210-804-1663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MILDRED WALKER
Title or Position: ADMINISTRATOR
Credential:
Phone: 210-804-1663