Organization
JOHN'S SUNSHINE HAVEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY L RUSHING (CEO/OWNER)
(704) 231-5299
Entity
Organization
Contact information
Practice address
9620 BAYVIEW PKWY STE 202, CHARLOTTE, NC 28216-3722
(704) 231-5299
Mailing address
537 W SUGAR CREEK RD STE 202, CHARLOTTE, NC 28213-6102
(704) 231-5299
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/13/2025
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