Provider Demographics
NPI:1447434170
Name:SUNLITE HEALTHCARE SERVICES , INC .
Entity type:Organization
Organization Name:SUNLITE HEALTHCARE SERVICES , INC .
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL EXSECUTIVE/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:N
Authorized Official - Last Name:UDOFIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-533-8721
Mailing Address - Street 1:2113 SUANNE DR
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-4846
Mailing Address - Country:US
Mailing Address - Phone:903-533-8721
Mailing Address - Fax:903-533-9200
Practice Address - Street 1:2113 SUANNE DR
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-4846
Practice Address - Country:US
Practice Address - Phone:903-533-8721
Practice Address - Fax:903-533-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health