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Organization
STARLIGHT HEALTHCARE SERVICES INC
Active
Organization
STARLIGHT HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANIEMA ETIM UDOH (PRESIDENT)
(704) 451-5531
Entity
Organization
Contact information
Practice address
5501 EXECUTIVE CENTER DR STE 245, CHARLOTTE, NC 28212-8867
(704) 451-5531
Mailing address
954 MOUNT GALLANT RD STE A, ROCK HILL, SC 29730-2874
(704) 451-5531
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0362
SC
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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