| Shine Healthcare Group Llc | |
|
2 Logan Sq Ste 300 Philadelphia PA 19103-2733 | |
| (470) 870-2404 | |
| Not Available |
| Full Name | Shine Healthcare Group Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2 Logan Sq Ste 300, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jasmin L Booker (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4044917716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Healthcare Group Llc 3631 Chamblee Tucker Rd Ste A288 Atlanta GA 30341-4415 Ph: () - | Shine Healthcare Group Llc 2 Logan Sq Ste 300 Philadelphia PA 19103-2733 Ph: (470) 870-2404 |
| NPI Number | 1598450280 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 04/07/2023 |
| Certification Date | 04/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598450280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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