Organization
GOLD STAR HOME HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE BANKS-HALL RN (OWNER/ADMINISTRATOR)
(502) 714-1573
Entity
Organization
Contact information
Practice address
960 E HWY 121 BUSINESS, LEWISVILLE, TX 75057
(502) 714-1573
Mailing address
3198 PARKWOOD BLVD, 12100, FRISCO, TX 75034-9514
(502) 714-1573
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
36987479
TX
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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