NPI 1629765599
Shine a Light Foundation
Practice location
- Address
- 2330 Highland Dr STE 205, Las Vegas, NV 89102-4810
- Phone
- (725) 222-4654
Authorised official
- Name
- Jimmy Durbin
- Title
- Clinical Supervisor
- Phone
- (702) 883-4464
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1629765599
- Entity type
- Organization
- NPI issued
- 20 Apr 2023
- Record last updated
- 20 Apr 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.