Organization
SHINING STARS LLC
Active
Organization
SHINING STARS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FUALUPE LYDIA MOUNGALOA (OWNER)
(801) 696-8897
Entity
Organization
Contact information
Practice address
2862 S DAY LILLY DR, SARATOGA SPRINGS, UT 84045-6740
(801) 696-8897
Mailing address
2862 S DAY LILLY DR, SARATOGA SPRINGS, UT 84045-6740
(801) 696-8897
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
05/02/2021
Last updated
05/02/2021
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