# SHINEFORTH HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104533371
- **Authorized official:** UCHE H FABIKU DNP, PMHNP, FNP (CEO)
- **Authorized official phone:** (301) 633-2515

## Contact information

- **Practice address:** 3611 BRANCH AVE STE 404, TEMPLE HILLS, MD 20748-1251
- **Practice address phone:** (301) 633-2515
- **Mailing address:** 3611 BRANCH AVE STE 404, TEMPLE HILLS, MD 20748-1251
- **Mailing address phone:** (301) 633-2515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2022
- **Last updated:** 10/27/2022