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Organization
SHINING STAR HOME HEALTH CARE INC
Active
Organization
SHINING STAR HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN VATTACHACKAL (ADMINISTRATOR)
(469) 366-9767
Entity
Organization
Contact information
Practice address
713 GATEWOOD RD STE B, GARLAND, TX 75043-8528
(469) 366-9767
(469) 366-9875
Mailing address
713 GATEWOOD RD STE B, GARLAND, TX 75043-8528
(469) 366-9767
(469) 366-9875
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009851
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1804817-01
—
TX
Enumeration date
05/04/2007
Last updated
08/04/2023
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