Provider Demographics
NPI:1376867978
Name:MORNING STAR ASSISTED LIVING, INC
Entity Type:Organization
Organization Name:MORNING STAR ASSISTED LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASLINE
Authorized Official - Middle Name:J
Authorized Official - Last Name:JESSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-879-0940
Mailing Address - Street 1:13217 SHERWOOD FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1242
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13217 SHERWOOD FOREST DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1242
Practice Address - Country:US
Practice Address - Phone:301-879-0940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15AL016-C310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility