Organization
O SHINE RESIDENTIAL HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN CLINTON (CONSULTANT)
(817) 903-7600
Entity
Organization
Contact information
Practice address
1903 TRAILRIDGE DR, RICHARDSON, TX 75081-4734
(469) 233-6741
(214) 594-9266
Mailing address
1903 TRAILRIDGE DR, RICHARDSON, TX 75081-4734
(469) 233-6741
(214) 594-9266
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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