Provider Demographics
NPI:1922378397
Name:MY MORNING STAR ATTENDANT SERVICES INC
Entity Type:Organization
Organization Name:MY MORNING STAR ATTENDANT SERVICES INC
Other - Org Name:MY MORNING STAR ATTENDANT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:ADELSIA
Authorized Official - Last Name:SOTELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-781-7827
Mailing Address - Street 1:300 E NOLANA LOOP STE D
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-9684
Mailing Address - Country:US
Mailing Address - Phone:956-781-7832
Mailing Address - Fax:956-781-7827
Practice Address - Street 1:300 E NOLANA LOOP STE D
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-9684
Practice Address - Country:US
Practice Address - Phone:956-781-7827
Practice Address - Fax:956-781-7830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty