Provider Demographics
NPI:1285074518
Name:SUNNY STYLE SOBER LIVING LLC
Entity type:Organization
Organization Name:SUNNY STYLE SOBER LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAFFUTO
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:855-786-7895
Mailing Address - Street 1:16520 GATEWAY BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-9666
Mailing Address - Country:US
Mailing Address - Phone:855-786-7895
Mailing Address - Fax:800-915-3685
Practice Address - Street 1:22798 SW 65TH WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-5303
Practice Address - Country:US
Practice Address - Phone:855-786-7895
Practice Address - Fax:800-915-3685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility