# NURSES STATION STAR

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

## Provider details

- **NPI number:** 1659580439
- **Authorized official:** MS. NORMA FAGRE CHAFLOQUE (COORDINATOR)
- **Authorized official phone:** (703) 241-0255

## Contact information

- **Practice address:** 1073 W BROAD ST STE 212A, FALLS CHURCH, VA 22046-4612
- **Practice address phone:** (703) 241-0255
- **Practice address fax:** (703) 241-0059
- **Mailing address:** 1073 W BROAD ST STE 212A, FALLS CHURCH, VA 22046-4612
- **Mailing address phone:** (703) 241-0255
- **Mailing address fax:** (703) 241-0059

## Taxonomy

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

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/22/2020