Organization
SHINE ON TXK DAYHAB SERVICES
Active
Organization
SHINE ON TXK DAYHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERIN F CAMPBELL (ADMINISTRATOR)
(903) 293-7446
Entity
Organization
Contact information
Practice address
2202 S STATELINE, TEXARKANA, TX 75501
(903) 293-7446
Mailing address
2806 W 7TH ST, TEXARKANA, TX 75501-6424
(903) 293-7446
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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