# STARLIGHT HEALTH CARE SERVICES LTD

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

## Provider details

- **NPI number:** 1285370544
- **Authorized official:** JOHN O OMBASA (DIRECTOR)
- **Authorized official phone:** (763) 439-8665

## Contact information

- **Practice address:** 17674 54TH CT NE, OTSEGO, MN 55374-4644
- **Practice address phone:** (763) 439-8665
- **Mailing address:** 17674 54TH CT NE, OTSEGO, MN 55374-4644
- **Mailing address phone:** (763) 439-8665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2022
- **Last updated:** 05/10/2022