NPI 1013502954

Shinelight, INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Saint Pauls, NC

Practice location

Address: 635 N Wilkinson Dr, Saint Pauls, NC 28384-1247
Phone: (910) 323-1335
Fax: (910) 223-2180
Mailing address: 203 Rowan St, Fayetteville, NC 28301-4921

Authorised official

Name: Nikki G Creecy
Title: Ceo
Phone: (910) 323-1335

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1013502954
Entity type: Organization
NPI issued: 3 Mar 2021
Record last updated: 4 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.