Shackleford Guiding Light Llc

LBN: Shackleford Guiding Light Llc
Shackleford Guiding Light Llc is an health care organization with primary practice located at 687 Moore Rouse Rd , Snow Hill NC 28580-7383. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Shackleford Guiding Light Llc can be contacted via phone (252) 419-2407, or through Shackleford, Sandra via phone (252) 419-2407.

Contact Information

Primary practice address
687 Moore Rouse Rd Snow Hill NC 28580-7383
Phone: (252) 419-2407
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shackleford, Sandra
Phone: (252) 419-2407

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1356179923
LBN Legal business name Shackleford Guiding Light Llc
DBA Doing business as
Authorized official Shackleford, Sandra
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2024
Last updated Jul 24th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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