| Shining Hope Farms | |
|
328 Whippoorwill Ln Mount Holly NC 28120-9765 | |
| (704) 827-3788 | |
| (704) 827-3799 |
| Full Name | Shining Hope Farms |
|---|---|
| Speciality | Occupational Therapist |
| Location | 328 Whippoorwill Ln, Mount Holly, North Carolina |
| Authorized Official Name and Position | Milinda Hendrick Kirkpatrick (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7048273788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Hope Farms Po Box 1036 Mount Holly NC 28120-1036 Ph: (704) 827-3788 | Shining Hope Farms 328 Whippoorwill Ln Mount Holly NC 28120-9765 Ph: (704) 827-3788 |
| NPI Number | 1144369224 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 08/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144369224 | NPI | - | NPPES |
| 018G3 | Other | NC | BLUE CROSS BLUE SHIELD |
| NPB318 | Medicaid | SC | |
| 700335 | Other | NC | ACN GROUP |
| 7211445 | Medicaid | NC |
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