Provider Demographics
NPI:1447028691
Name:SUNFLOWER GARDENS ASSISTED LIVING LLC
Entity type:Organization
Organization Name:SUNFLOWER GARDENS ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MACIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-444-4566
Mailing Address - Street 1:1101 W CIMARRON ST
Mailing Address - Street 2:
Mailing Address - City:NOGALES
Mailing Address - State:AZ
Mailing Address - Zip Code:85621-1709
Mailing Address - Country:US
Mailing Address - Phone:520-287-6535
Mailing Address - Fax:800-420-7718
Practice Address - Street 1:1101 W CIMARRON ST
Practice Address - Street 2:
Practice Address - City:NOGALES
Practice Address - State:AZ
Practice Address - Zip Code:85621-1709
Practice Address - Country:US
Practice Address - Phone:520-287-6535
Practice Address - Fax:800-420-7718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility