Organization
SHINE CENTER FOR HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIA N DANIELS MASTER OF SCIENCE (OWNER)
(609) 694-4870
Entity
Organization
Contact information
Practice address
807 LEXINGTON MEWS, 807 LEXINGTON MEWS, WOOLWICH, NJ 08085-4300
(609) 694-4870
Mailing address
807 LEXINGTON MEWS, 807 LEXINGTON MEWS, WOOLWICH, NJ 08085-4300
(609) 694-4870
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0765465
—
NJ
Enumeration date
08/19/2020
Last updated
06/21/2022
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