Organization
SHININGSTARRS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STARR UNIQUE EADY CNA (OWNER)
(678) 860-0792
Entity
Organization
Contact information
Practice address
1880 BRASELTON HWY, SUITE 118 #5065, LAWRENCEVILLE, GA 30043-2852
(678) 404-6659
(678) 804-1852
Mailing address
1880 BRASELTON HWY, SUITE 118 #5065, LAWRENCEVILLE, GA 30043-2852
(678) 404-6659
(678) 804-1852
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
16059683
GA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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