Son Shine Home Inc
Son Shine Home Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2056 Hwy AAPoplar Bluff, MO 63901-3789
Phone: (573) 785-0482
Fax: (573) 776-7278
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 14308791 (MO) |
|---|
Record details
| NPI number | 1114064508 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leota Dicken — Administrator Pres Of Corp Owner · (573) 785-0482 |
| NPI enumerated | February 1, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2056 Hwy Aa, Poplar Bluff, MO 63901-3789 |