# GLOBE STAR, LLC

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

## Provider details

- **NPI number:** 1952840183
- **Authorized official:** DR. ANTHONY M MCCROVITZ PHD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (219) 921-5492

## Contact information

- **Practice address:** 935 S IRONWOOD DR, SOUTH BEND, IN 46615-1613
- **Practice address phone:** (219) 921-5492
- **Practice address fax:** (219) 921-0143
- **Mailing address:** 621 BROADWAY, CHESTERTON, IN 46304-2259
- **Mailing address phone:** (219) 921-5492
- **Mailing address fax:** (219) 921-0143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | IN | Yes |

## Other

- **Enumeration date:** 02/21/2017
- **Last updated:** 02/21/2017