Provider Demographics
NPI:1538443098
Name:SUNLIGHT HEALTH SERVICES ,LLC
Entity type:Organization
Organization Name:SUNLIGHT HEALTH SERVICES ,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:TSE
Authorized Official - Last Name:ANGWAFO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-204-3006
Mailing Address - Street 1:2638 AERO DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-7612
Mailing Address - Country:US
Mailing Address - Phone:214-204-3006
Mailing Address - Fax:817-987-2724
Practice Address - Street 1:2638 AERO DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7612
Practice Address - Country:US
Practice Address - Phone:214-204-3006
Practice Address - Fax:817-987-2724
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CIRE INDUSTRIES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health