Organization
FIVE-STAR INTEGRATED HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMIA D ROLLINS-MUSGRAVE (OWNER)
(443) 534-3652
Entity
Organization
Contact information
Practice address
1125 WEST ST, ANNAPOLIS, MD 21401-3607
(667) 204-0614
Mailing address
1125 WEST ST, ANNAPOLIS, MD 21401-3607
(667) 204-0614
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
08/05/2020
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