MEDICARE: SUNFLOWER ADULT DAYCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center	B105116	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B105116	OTHER	KS	DAYCARE LICENSE NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811042534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNFLOWER ADULT DAYCARE INC

Provider Business Mailing Address
First Line	:	1109 N 5TH
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66101
Country	:	US
Telephone Number	:	913-299-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1109 N 5TH
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66101
Country	:	US
Telephone Number	:	913-299-0800
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANK GORDON
Credential	:
Telephone Number	:	913-299-0800

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	06/13/2008

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Directions to “SUNFLOWER ADULT DAYCARE INC ” Practice Location

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