# SHINELIGHT, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHINELIGHT, INC
- **Other names:** Wilkinson Facility
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013502954
- **Legal business name:** SHINELIGHT, INC
- **Authorized official:** NIKKI G CREECY (CEO)
- **Authorized official phone:** (910) 323-1335

## Contact information

- **Practice address:** 635 N WILKINSON DR, SAINT PAULS, NC 28384-1247
- **Practice address phone:** (910) 323-1335
- **Practice address fax:** (910) 223-2180
- **Mailing address:** 203 ROWAN ST, FAYETTEVILLE, NC 28301-4921
- **Mailing address phone:** (910) 323-1335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/03/2021
- **Last updated:** 01/04/2023