Provider Demographics
NPI:1487101234
Name:SUNNY DAY CENTER ONE LP
Entity type:Organization
Organization Name:SUNNY DAY CENTER ONE LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADELIDE
Authorized Official - Middle Name:PEREZ
Authorized Official - Last Name:YBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-799-1099
Mailing Address - Street 1:PO BOX 154846
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76715-4846
Mailing Address - Country:US
Mailing Address - Phone:254-799-1099
Mailing Address - Fax:254-799-1786
Practice Address - Street 1:2714 OLD DALLAS RD
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76705-1771
Practice Address - Country:US
Practice Address - Phone:254-799-1099
Practice Address - Fax:254-799-1786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX143258261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care