Organization · Type 2 NPI

Shinelight, Inc

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fayetteville, NC

NPI number 1417370545 Active

Practice location

203 Rowan St
Fayetteville, NC 28301-4921

Call (910) 257-6406 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1417370545

Shinelight, Inc's National Provider Identifier is 1417370545, issued on Jan 24, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fayetteville, NC. The record was last updated on Apr 21, 2021.