Organization
A SHINING LIGHT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN A LAPRAD (EXECUTIVE DIRECTOR)
(540) 797-2925
Entity
Organization
Contact information
Practice address
107 AZALEA RD, DALEVILLE, VA 24083-3522
(540) 797-2925
(540) 966-2744
Mailing address
PO BOX 45, HARDY, VA 24101-0045
(540) 797-2928
(540) 966-2744
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1197-01-001
VA
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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