# DAYSTAR HEALTH SERVICES

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

## Provider details

- **NPI number:** 1578896064
- **Authorized official:** MRS. DANIELLE MARIE WILLIAMS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (318) 221-0212

## Contact information

- **Practice address:** 1545 LINE AVE, SUITE 209, SHREVEPORT, LA 71101-4600
- **Practice address phone:** (318) 221-0210
- **Practice address fax:** (318) 221-0210
- **Mailing address:** 1545 LINE AVE, SUITE 209, SHREVEPORT, LA 71101-4600
- **Mailing address phone:** (318) 221-0210
- **Mailing address fax:** (318) 221-0210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | PCA115173 | LA | — |
| 253Z00000X | In Home Supportive Care Agency | PCA115173 | LA | Yes |

## Other

- **Enumeration date:** 09/15/2009
- **Last updated:** 09/15/2009