# MORNING STAR RESIDENCE LLC

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

## Provider details

- **NPI number:** 1811182942
- **Authorized official:** MR. LARRY C MATEO (LLC OFFICER)
- **Authorized official phone:** (415) 587-6034

## Contact information

- **Practice address:** 658 SHOTWELL ST, SAN FRANCISCO, CA 94110-2624
- **Practice address phone:** (415) 285-1368
- **Practice address fax:** (415) 285-1368
- **Mailing address:** 91 LAKEWOOD AVE, SAN FRANCISCO, CA 94127-2719
- **Mailing address phone:** (415) 587-6034
- **Mailing address fax:** (415) 587-6034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 380540234 | CA | — |
| 311ZA0620X | Adult Care Home Facility | 380540235 | CA | Yes |
| 311ZA0620X | Adult Care Home Facility | 385600364 | CA | — |
| 311ZA0620X | Adult Care Home Facility | 389210032 | CA | — |
| 311ZA0620X | Adult Care Home Facility | 389210033 | CA | — |

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 07/23/2008