# FIVE-STAR INTEGRATED HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1750991709
- **Authorized official:** TAMIA ROLLINS-MUSGRAVE (OWNER)
- **Authorized official phone:** (667) 720-0614

## Contact information

- **Practice address:** 1125 WEST ST STE 235, ANNAPOLIS, MD 21401-4198
- **Practice address phone:** (667) 204-0614
- **Mailing address:** 1125 WEST ST STE 235, ANNAPOLIS, MD 21401-4198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2020
- **Last updated:** 09/28/2020