Organization
SHINING STAR HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN LAI (OWNER)
(323) 327-8375
Entity
Organization
Contact information
Practice address
10504 WEIGAND AVE, LOS ANGELES, CA 90002-3866
(323) 327-8375
(323) 357-5901
Mailing address
PO BOX 131, SOUTH GATE, CA 90280-0131
(323) 327-8375
(323) 357-5901
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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