Provider Demographics
NPI:1316496243
Name:SUNSET HORIZON COMPANION CARE
Entity type:Organization
Organization Name:SUNSET HORIZON COMPANION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOMER
Authorized Official - Middle Name:D
Authorized Official - Last Name:MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-645-0167
Mailing Address - Street 1:2212 PECAN CHASE CIR
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-4877
Mailing Address - Country:US
Mailing Address - Phone:918-645-0167
Mailing Address - Fax:918-923-7461
Practice Address - Street 1:2212 PECAN CHASE CIR
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-4877
Practice Address - Country:US
Practice Address - Phone:918-645-0167
Practice Address - Fax:918-923-7461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty