Provider Demographics
NPI:1629208020
Name:SHINING ROCK ASSOCIATES, INC.
Entity Type:Organization
Organization Name:SHINING ROCK ASSOCIATES, INC.
Other - Org Name:STAT NURSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HUME
Authorized Official - Last Name:DAVENPORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-232-0911
Mailing Address - Street 1:797 HAYWOOD RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3101
Mailing Address - Country:US
Mailing Address - Phone:828-232-0911
Mailing Address - Fax:828-232-0913
Practice Address - Street 1:797 HAYWOOD RD
Practice Address - Street 2:SUITE 202
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3101
Practice Address - Country:US
Practice Address - Phone:828-232-0911
Practice Address - Fax:828-232-0913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNP1689251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care