A Shining Light, Inc.

NPI #1588812887 in Daleville, Virginia

Provider Information

NPI Number: 1588812887
Entity Type: Organization
Organization Name: A Shining Light, Inc.
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 29, 2008
Last Updated: Aug 29, 2008

Practice Location

Address: 107 AZALEA RD
City: Daleville
State: Virginia
ZIP Code: 24083-3522
Phone: (540) 797-2925

Authorized Official

Name: DAWN A LAPRAD
Title: EXECUTIVE DIRECTOR
Phone: (540) 797-2925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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