| NPI | 1801627807 |
|---|---|
| Doing Business As | SHINE ADULT CARE LLC |
| Entity Type | Organization |
| Authorized Contact | JACQUETTA RESHON COLEMAN Owner/CEO 704-906-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-14 |