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Organization
U SHINE COMMUNITY OUTREACH INC, YOUTH EXPRESSING LIFESTYLE PASSIONS
Active
Organization
U SHINE COMMUNITY OUTREACH INC, YOUTH EXPRESSING LIFESTYLE PASSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA PHILLIPS (AGENCY DIRECTOR)
(252) 916-9800
Entity
Organization
Contact information
Practice address
2121 IONE ST STE 112, GREENVILLE, NC 27834-0133
(252) 916-9800
Mailing address
2121 IONE ST STE 112, GREENVILLE, NC 27834-0133
(252) 916-9800
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
305S00000X
Point of Service
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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