NPI: 1306130851
Provider Name: SHINING STAR ASSIST LIVING
Doing Business As: SHINING STAR ASSIST LIVING
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
Address:
2941 WESTGATE PL
FAIRBANKS, AK
ZIP 99709
Phone: (907) 687-5944
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SHINING STAR ASSIST LIVING is an assisted living and mental illness assisted living facility in Fairbanks, AK. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. SHINING STAR ASSIST LIVING NPI is 1306130851. The provider is registered as an organization entity type.
The provider Is Doing Business As Shining Star Assist Living.
The provider's business location address is:
2941 WESTGATE PL
FAIRBANKS, AK
ZIP 99709-747
Phone: (907) 687-5944
The provider's authorized official is Paul Micheal Worman .
The authorized official title is Owner and has the following contact phone number (907) 687-5944.
The enumeration date for this NPI number is 6/1/2011 and was last updated on 6/1/2011.