# STAR CARE SERVICE INC

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

## Provider details

- **NPI number:** 1982839445
- **Authorized official:** MS. TERRI SELF (BILLING MANAGER)
- **Authorized official phone:** (337) 312-1446

## Contact information

- **Practice address:** 313 ALAMO ST, SUITE B, LAKE CHARLES, LA 70601-8528
- **Practice address phone:** (337) 436-5690
- **Mailing address:** PO BOX 4610, LAKE CHARLES, LA 70606-4610
- **Mailing address phone:** (337) 312-1446

## Taxonomy

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

## Other

- **Enumeration date:** 05/27/2009
- **Last updated:** 05/27/2009