Provider Demographics
NPI:1245533082
Name:SUNSHINE EARLY CHILD CARE CENTER, INC
Entity type:Organization
Organization Name:SUNSHINE EARLY CHILD CARE CENTER, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAINE
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:4012-194-3510
Mailing Address - Street 1:11 IAFRATE WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-1792
Mailing Address - Country:US
Mailing Address - Phone:401-294-3510
Mailing Address - Fax:401-294-3538
Practice Address - Street 1:11 IAFRATE WAY
Practice Address - Street 2:
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-1792
Practice Address - Country:US
Practice Address - Phone:401-294-3510
Practice Address - Fax:401-294-3538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-17
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health