Provider Demographics
NPI:1265915540
Name:HEALTHSHINE SOLUTIONS INC
Entity type:Organization
Organization Name:HEALTHSHINE SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN ASSIST
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SANFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-673-0700
Mailing Address - Street 1:49561 ANNANDALE DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2149
Mailing Address - Country:US
Mailing Address - Phone:313-737-0832
Mailing Address - Fax:888-850-3930
Practice Address - Street 1:28413 ABBEY LN
Practice Address - Street 2:
Practice Address - City:NEW HUDSON
Practice Address - State:MI
Practice Address - Zip Code:48165-2801
Practice Address - Country:US
Practice Address - Phone:313-787-0832
Practice Address - Fax:888-850-3930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty