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Organization
TRI STARR HOME CARE LLC
Active
Organization
TRI STARR HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERILL A DOMINGO (OWNER)
(408) 808-1392
Entity
Organization
Contact information
Practice address
1669 FLANIGAN DR., UNIT H, SAN JOSE, CA 95121
(408) 921-3936
(408) 841-9695
Mailing address
1669 FLANIGAN DR., UNIT H, SAN JOSE, CA 95121
(408) 921-3936
(408) 841-9695
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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