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1487138939
SHINING LIGHT PEER SERVICES
JACKSONVILLE, FL
NPI
1487138939
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Entity Type
Organization
Authorized Contact
DIANE LINKENAUGER
Director
904-290-9274
Organization Subpart ?
No
Primary Taxonomy
261QR0800X Clinic/Center, Recovery Care
Enumeration Date
2018-09-20
Last Update Date
2018-09-20
Business Address
SHINING LIGHT PEER SERVICES
3030 POWERS AVE
JACKSONVILLE, FL 32207-8043
Phone number: 904-290-9274
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Mailing Address
SHINING LIGHT PEER SERVICES
14269 PALMETTO SPRINGS ST
JACKSONVILLE, FL 32258-1138
Phone number: 904-290-9274
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