# STARCARE HOMES LLC

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

## Provider details

- **NPI number:** 1932740966
- **Authorized official:** KIMBERLY ANN WALLS APRN, FNP-C (MANAGER)
- **Authorized official phone:** (623) 261-4051

## Contact information

- **Practice address:** 9416 W COLTER ST, GLENDALE, AZ 85305-3373
- **Practice address phone:** (623) 261-4051
- **Practice address fax:** (623) 516-4401
- **Mailing address:** 9416 W COLTER ST, GLENDALE, AZ 85305-3373
- **Mailing address phone:** (623) 261-4051
- **Mailing address fax:** (623) 516-4401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2019
- **Last updated:** 10/01/2019