Shining Star Residential Facility, Llc.
NPI #1588294193 in Cedar Hill, Texas
Provider Information
- NPI Number
- 1588294193
- Entity Type
- Organization
- Organization Name
- Shining Star Residential Facility, Llc.
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 22, 2020
- Last Updated
- Nov 16, 2022
Practice Location
- Address
- 1277 HIGHVIEW DR
- City
- Cedar Hill
- State
- Texas
- ZIP Code
- 75104-5455
- Phone
- (469) 767-3139
Authorized Official
- Name
- FELISTAR AWHEN
- Title
- ADMINISTRATOR
- Phone
- (469) 767-3139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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