Organization · Type 2 NPI

O Shine Residential Home, Inc

Adult Care Home Facility · Richardson, TX

NPI number 1174296602 Active

Practice location

1903 Trailridge Dr
Richardson, TX 75081-4734

Fax (214) 594-9266

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1174296602

O Shine Residential Home, Inc's National Provider Identifier is 1174296602, issued on Jul 29, 2021. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Richardson, TX. The record was last updated on Jul 29, 2021.