NPI 1396996781

Shine Homes LLC

Organisation Preferred Provider Organization Washington, DC

Practice location

Address: 802 Dahlia St NW, Washington, DC 20012-2308
Phone: (240) 416-7947
Fax: (301) 861-4109

Authorised official

Name: Adeshina John Adewale
Title: President
Phone: (240) 416-7947

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in District of Columbia →

Registry record

NPI: 1396996781
Entity type: Organization
NPI issued: 4 Oct 2008
Record last updated: 28 Jul 2015

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.