Provider Demographics
NPI:1902260870
Name:SUNDROPS PLAYROOM
Entity Type:Organization
Organization Name:SUNDROPS PLAYROOM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:HEESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-464-2747
Mailing Address - Street 1:1107 ALVERSER DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2655
Mailing Address - Country:US
Mailing Address - Phone:804-464-2747
Mailing Address - Fax:
Practice Address - Street 1:1107 ALVERSER DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2655
Practice Address - Country:US
Practice Address - Phone:804-464-2747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty