OrganizationActive
Sunshine Therapeutic Group Home LLC
NPI 1790451839 · Mental Illness Community Based Residential Treatment Facility · Vidalia, LA
Provider details
- NPI number
- 1790451839
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tina Bruce, Owner(601) 807-3833
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Practice location
4907 Highway 84 W
Vidalia, LA 71373-3579
Phone: (601) 807-3833
Approximate (ZIP-level) locationGet directions
Mailing address
4907 Highway 84 W
Vidalia, LA 71373-3579
Registry dates
- Enumerated
- 2021-08-18
- Last updated
- 2021-08-19
- Certified
- 2021-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.