| NPI | 1578331096 |
|---|---|
| Doing Business As | VALLEY STAR ADULT FSP |
| Entity Type | Organization |
| Authorized Contact | KEN DUNLAP President And Chief Executive Offic 310-221-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-03-08 |