SUNSHINE RECOVERY NETWORK, INC


Address: 632 E 5th Ave, Mount Dora, FL 32757
Phone: 3523088281

SUNSHINE RECOVERY NETWORK, INC (NPI# 1053850073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053850073
Entity Type Organization
Organization Name SUNSHINE RECOVERY NETWORK, INC
Practice Address 632 E 5th Ave
Mount Dora
FL 32757
Practice Telephone 3523088281
Practice Fax Number 3526024310
Mailing Telephone 3523088281
Mailing Fax Number 3526024310
Enumeration Date 2017-02-23
Last Update Date 2018-05-29
Authorized Official Name MR. MARLON WILLIAMS (CEO)
Authorized Official Telephone 3523088281
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health FL Agencies
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 632 E 5TH AVE
City MOUNT DORA
State FL
Zip Code 32757

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City MOUNT DORA
Zip Code 32757

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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