Starlight Health Care Services Ltd
In Home Supportive Care in Otsego, MN. Organization (NPI-2).
NPI number1285370544
StatusActive
Last updated in NPPESMay 10, 2022
Details
- NPI
- 1285370544
- Entity type
- Organization (NPI-2)
- Legal business name
- Starlight Health Care Services Ltd
- Organization subpart
- No
- Enumeration date
- May 10, 2022
- Certification date
- May 10, 2022
- Last updated
- May 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
17674 54th Ct NeOtsego, MN 55374-4644
Phone 763-439-8665
Mailing address
17674 54th Ct NeOtsego, MN 55374-4644
Phone 763-439-8665
Authorized official
John O Ombasa
Director
7634398665
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