Provider Demographics
NPI:1992686919
Name:SUNSHINE SENSORY CENTER LLC
Entity type:Organization
Organization Name:SUNSHINE SENSORY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:623-383-1292
Mailing Address - Street 1:8301 N 103RD AVE LOT 112
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-7459
Mailing Address - Country:US
Mailing Address - Phone:623-383-1292
Mailing Address - Fax:
Practice Address - Street 1:8301 N 103RD AVE LOT 112
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85345-7459
Practice Address - Country:US
Practice Address - Phone:623-383-1292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services