# STARBRIGHT PEDIATRIC HOME HEALTH

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

## Provider details

- **NPI number:** 1629516729
- **Authorized official:** STARR ALEXANDRA TAYS RN (OWNER)
- **Authorized official phone:** (505) 681-0550

## Contact information

- **Practice address:** 10 BRONCO CT, PERALTA, NM 87042-8508
- **Practice address phone:** (505) 681-0550
- **Mailing address:** 10 BRONCO CT, PERALTA, NM 87042-8508
- **Mailing address phone:** (505) 681-0550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2017
- **Last updated:** 02/08/2017
