# STARKS HOMES LLC

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

## Provider details

- **NPI number:** 1518331057
- **Authorized official:** COREY DUJUAN STARKS (PROGRAM ADMINISTRATOR)
- **Authorized official phone:** (520) 304-6681

## Contact information

- **Practice address:** 2873 E LUCCA LN, VAIL, AZ 85641-9712
- **Practice address phone:** (520) 762-9836
- **Mailing address:** 2873 E LUCCA LN, VAIL, AZ 85641-9712
- **Mailing address phone:** (520) 762-9836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH4675 | AZ | Yes |

## Other

- **Enumeration date:** 11/20/2015
- **Last updated:** 11/20/2015