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1942909635 NPI number — SHINE CHRISTIAN SENIOR CENTER

NPI Number: 1942909635
Health Care Provider/Practitioner: SHINE CHRISTIAN SENIOR CENTER

Information about “1942909635” NPI (SHINE CHRISTIAN SENIOR CENTER) exists in 1942909635 in HTML format HTML  |  1942909635 in plain Text format TXT  |  1942909635 in PDF (Portable Document Format) PDF  |  1942909635 in an XML format XML  formats.

NPI Number : 1942909635 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1942909635",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "SHINE LIGHT INTERNATIONAL BAPTIST CHURCH, INC",
    "ParentOrgTIN": null,
    "OrgName": "SHINE CHRISTIAN SENIOR CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1795 BUFORD HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DULUTH",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30097-2806",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "470-426-1904",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1795 BUFORD HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DULUTH",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30097-2806",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "470-426-1904",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/01/2023",
    "LastUpdateDate": "03/01/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LIM",
    "AuthorizedOfficialFirstName": "ESTHER",
    "AuthorizedOfficialMiddleName": "HAEKANG",
    "AuthorizedOfficialTitle": "OPERATION CLINICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "470-426-1904",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QA0600X",
        "TaxonomyName": "Adult Day Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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