# AMERISTAR HEALTHCARE SERVICES, INC,

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083853303
- **Authorized official:** MR. WILFRED C. KANDIE (DIRECTOR OF FINANCE)
- **Authorized official phone:** (240) 965-6572

## Contact information

- **Practice address:** 6604 ADRIAN ST, NEW CARROLLTON, MD 20784-3610
- **Practice address phone:** (240) 965-6572
- **Practice address fax:** (240) 965-6574
- **Mailing address:** 6604 ADRIAN ST, NEW CARROLLTON, MD 20784-3610
- **Mailing address phone:** (240) 965-6572
- **Mailing address fax:** (240) 965-6574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R2719P | MD | Yes |

## Other

- **Enumeration date:** 02/10/2009
- **Last updated:** 02/10/2009
