| Shine Support Services, Corp. | |
|
252 Nc Hwy 126 Nebo NC 28761-7698 | |
| (828) 460-9960 | |
| Not Available |
| Full Name | Shine Support Services, Corp. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 252 Nc Hwy 126, Nebo, North Carolina |
| Authorized Official Name and Position | Taylor Pittman (CEO) |
| Authorized Official Contact | 8284609960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Support Services, Corp. 556 Sedona Dr Nebo NC 28761-7752 Ph: (828) 460-9960 | Shine Support Services, Corp. 252 Nc Hwy 126 Nebo NC 28761-7698 Ph: (828) 460-9960 |
| NPI Number | 1841021607 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 08/12/2024 |
| Certification Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841021607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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