Organization
SHINING STARS HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONDA ANTIONETTE LAWRENCE (OWNER)
(704) 253-0889
Entity
Organization
Contact information
Practice address
2117 WINDRUSH CT, STATESVILLE, NC 28625-5000
(704) 253-0889
Mailing address
2117 WINDRUSH CT, STATESVILLE, NC 28625-5000
(704) 253-0889
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NC
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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