Organization
SHINING HOPE FARMS
Active
Organization
SHINING HOPE FARMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILINDA HENDRICK KIRKPATRICK (EXECUTIVE DIRECTOR)
(704) 827-3788
Entity
Organization
Contact information
Practice address
328 WHIPPOORWILL LN, MOUNT HOLLY, NC 28120-9765
(704) 827-3788
(704) 827-3799
Mailing address
PO BOX 1036, MOUNT HOLLY, NC 28120-1036
(704) 827-3788
(704) 827-3799
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NC
261QD1600X
Developmental Disabilities Clinic/Center
—
NC
261QH0100X
Health Service Clinic/Center
—
NC
261QM1300X
Multi-Specialty Clinic/Center
—
NC
261QP2000X
Physical Therapy Clinic/Center
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018G3
BLUE CROSS BLUE SHIELD
NC
01
—
700335
ACN GROUP
NC
05
—
7211445
—
NC
05
—
NPB318
—
SC
Enumeration date
02/06/2007
Last updated
08/07/2019
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