Provider Demographics
NPI:1023474038
Name:SUNNY DAY SENIOR SERVICES, LLC
Entity type:Organization
Organization Name:SUNNY DAY SENIOR SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-222-5050
Mailing Address - Street 1:14540 JOHN MARSHALL HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-1691
Mailing Address - Country:US
Mailing Address - Phone:571-222-5050
Mailing Address - Fax:571-222-5051
Practice Address - Street 1:14540 JOHN MARSHALL HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-1691
Practice Address - Country:US
Practice Address - Phone:571-222-5050
Practice Address - Fax:571-222-5051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care