Organization

Shining Star Living Services, Llc

Community/Behavioral Health Agency in Jacksonville Beach, FL(View on Map)

Legal Business Name

Shining Star Living Services, Llc

NPI Number

1427359900

NPI Type

Organization

Enumeration Date

11/15/2010

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1844 PENMAN RD
1844 PENMAN RD

City

Jacksonville Beach
Jacksonville Beach

State

FL
FL

Postal Code

32250-3734
32250-3734

Country

US
US

Telephone Number

(989) 657-9265
(989) 657-9265

Authorized Official

Name

Kristina French

Title or Position

OWNER

Telephone Number

(989) 657-9265

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/15/2010

Provider Address

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