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Organization
STARCARE
Active
Organization
STARCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIDACUS ONODINGENE (EXECUTIVE DIRECTOR)
(615) 367-0513
Entity
Organization
Contact information
Practice address
1161 MURFREESBORO PIKE, SUITE 523, NASHVILLE, TN 37217-2222
(615) 367-0513
Mailing address
1161 MURFREESBORO PIKE, SUITE 523, NASHVILLE, TN 37217-2222
(615) 367-0513
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E09
DMRS
TN
Enumeration date
06/14/2009
Last updated
06/14/2009
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