Provider Demographics
NPI:1932301124
Name:SYLVIA JUNIETTE SALAZAR
Entity Type:Organization
Organization Name:SYLVIA JUNIETTE SALAZAR
Other - Org Name:STARLIGHT HOME AND COMMUNITY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:JUNIETTE
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-773-8882
Mailing Address - Street 1:1362 EL INDIO HWY
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-5211
Mailing Address - Country:US
Mailing Address - Phone:830-773-8882
Mailing Address - Fax:830-773-8809
Practice Address - Street 1:691 PROGRESO
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-6566
Practice Address - Country:US
Practice Address - Phone:830-773-8882
Practice Address - Fax:830-773-8809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services