SHININGSTAR INDEPENDENT LLC

PHOENIX, AZ
NPI1336769322
Entity TypeOrganization
Authorized ContactLUCIA OLUFUNMILAYO AJAYI
CEO
240-374-2292
Organization Subpart ?No
Primary Taxonomy320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Additional Taxonomies251E00000X Home Health
Enumeration Date2020-04-20
Last Update Date2020-04-20
Business Address
SHININGSTAR INDEPENDENT LLC
5146 N 11TH AVE APT D208
PHOENIX, AZ 85013-2161
Phone number: 240-374-2292
Mailing Address
SHININGSTAR INDEPENDENT LLC
5146 N 11TH AVE APT D208
PHOENIX, AZ 85013-2161
Phone number: 240-374-2292