Healthcare Provider Details

I. General information

NPI: 1962363739
Provider Name (Legal Business Name): SUNSHINE ADULT FAMILY HOME II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2025
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 S RAYMOND RD
SPOKANE VALLEY WA
99206-3507
US

IV. Provider business mailing address

921 S RAYMOND RD
SPOKANE VALLEY WA
99206-3507
US

V. Phone/Fax

Practice location:
  • Phone: 509-340-9298
  • Fax:
Mailing address:
  • Phone: 509-340-9298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: JULIE ALEXANDER
Title or Position: ADMINISTRATOR
Credential: NAC
Phone: 509-340-9298