O Shine Residential Home, INC
NPI #1174296602 in Richardson, Texas
Provider Information
- NPI Number
- 1174296602
- Entity Type
- Organization
- Organization Name
- O Shine Residential Home, INC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jul 29, 2021
- Last Updated
- Jul 29, 2021
Practice Location
- Address
- 1903 TRAILRIDGE DR
- City
- Richardson
- State
- Texas
- ZIP Code
- 75081-4734
- Phone
- (469) 233-6741
Authorized Official
- Name
- ELLEN CLINTON
- Title
- CONSULTANT
- Phone
- (817) 903-7600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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