Organization
WE SHINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER GIST M.ED (FOUNDER/PRESIDENT)
(469) 430-6557
Entity
Organization
Contact information
Practice address
4564 MOUNTAIN LAUREL DR, GRAND PRAIRIE, TX 75052-2902
(460) 430-6557
Mailing address
1525 US HWY 380 SUITE 500 PMB 174, FRISCO, TX 75033
(469) 430-6557
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/22/2024
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