# DAYSTAR RESIDENTIAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336361633
- **Authorized official:** MR. CARROLL MORGAN SALLS MA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (281) 489-3054

## Contact information

- **Practice address:** 3926 BAHLER AVE, MANVEL, TX 77578-2823
- **Practice address phone:** (281) 489-0317
- **Practice address fax:** (281) 489-1800
- **Mailing address:** 3926 BAHLER AVE, MANVEL, TX 77578-2823
- **Mailing address phone:** (281) 489-0317
- **Mailing address fax:** (281) 489-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 516827 | TX | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 516827 | TX | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 09/11/2025
