| NPI | 1720650989 |
|---|---|
| Doing Business As | SHINE ADULT DAY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ROD YACKO Owner 949-933-6546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-07-15 |