Organization
SHINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA EDEN (OWNER)
(720) 280-2323
Entity
Organization
Contact information
Practice address
513 WEST ST, FORT COLLINS, CO 80521-1860
(720) 280-2323
Mailing address
513 WEST ST, FORT COLLINS, CO 80521-1860
(720) 280-2323
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
376J00000X
Homemaker
—
CO
385H00000X
Respite Care
—
CO
Other
Enumeration date
08/12/2016
Last updated
02/01/2017
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