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Organization
STAR CAPITAL INC
Active
Organization
STAR CAPITAL INC
Active
Other names
Goose Creek Manor
Organization subpart
No
Provider details
NPI number
Authorized official
FUZAIL A RIZVI (PRESIDENT)
(571) 225-8735
Entity
Organization
Contact information
Practice address
104 MARILYN ST, GOOSE CREEK, SC 29445-3104
(843) 572-7442
(843) 553-4043
Mailing address
104 MARILYN ST, GOOSE CREEK, SC 29445-3104
(843) 572-7442
(843) 553-4043
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
CRC-2027
SC
310400000X
Assisted Living Facility
Primary
CRC-2028
SC
Other
Enumeration date
07/20/2018
Last updated
04/07/2023
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