Organization · Type 2 NPI

Shiningstar Independent LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Phoenix, AZ

NPI number 1336769322 Active

Practice location

5146 N 11th Ave Apt D208
Phoenix, AZ 85013-2161

Call (240) 374-2292 Map

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1336769322

Shiningstar Independent LLC's National Provider Identifier is 1336769322, issued on Apr 20, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 20, 2020.