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Organization
SHINE HOMES LLC
Active
Organization
SHINE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADESHINA JOHN ADEWALE (PRESIDENT)
(240) 416-7947
Entity
Organization
Contact information
Practice address
802 DAHLIA ST NW, WASHINGTON, DC 20012-2308
(240) 416-7947
(301) 861-4109
Mailing address
802 DAHLIA ST NW, WASHINGTON, DC 20012-2308
(240) 416-7947
(301) 861-4109
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/04/2008
Last updated
07/28/2015
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