| Shining Star Living Services, Llc | |
|
1844 Penman Rd Jacksonville Beach FL 32250-3734 | |
| (989) 657-9265 | |
| (800) 877-1567 |
| Full Name | Shining Star Living Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1844 Penman Rd, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Kristina June French (OWNER) |
| Authorized Official Contact | 9896579265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Star Living Services, Llc 1844 Penman Rd Jacksonville Beach FL 32250-3734 Ph: (989) 657-9265 | Shining Star Living Services, Llc 1844 Penman Rd Jacksonville Beach FL 32250-3734 Ph: (989) 657-9265 |
| NPI Number | 1427359900 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427359900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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