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Organization
SHINELIGHT, INC
Active
Organization
SHINELIGHT, INC
Active
Parent organization
SHINELIGHT, INC
Other names
Wilkinson Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHINELIGHT, INC
Authorized official
NIKKI G CREECY (CEO)
(910) 323-1335
Entity
Organization
Contact information
Practice address
635 N WILKINSON DR, SAINT PAULS, NC 28384-1247
(910) 323-1335
(910) 223-2180
Mailing address
203 ROWAN ST, FAYETTEVILLE, NC 28301-4921
(910) 323-1335
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
03/03/2021
Last updated
01/04/2023
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