# SILVER STAR HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1386461226
- **Authorized official:** DENA KAYE MONTGOMERY APRN (CEO)
- **Authorized official phone:** (870) 703-5022

## Contact information

- **Practice address:** 1459 VZ COUNTY ROAD 3210, WILLS POINT, TX 75169-7103
- **Practice address phone:** (870) 703-5022
- **Practice address fax:** (903) 905-2710
- **Mailing address:** 1459 VZ COUNTY ROAD 3210, WILLS POINT, TX 75169-7103
- **Mailing address phone:** (870) 703-5022
- **Mailing address fax:** (903) 905-2710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 11/06/2024