| NPI | 1306130851 |
|---|---|
| Doing Business As | SHINING STAR ASSIST LIVING |
| Entity Type | Organization |
| Authorized Contact | PAUL MICHEAL WORMAN Owner 907-687-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |