Organization
BLUE STAR HOME CARE SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIA E LYNCH (OWNER)
(704) 215-5771
Entity
Organization
Contact information
Practice address
219 W MAIN AVE, 8, GASTONIA, NC 28052
(704) 692-9179
(704) 215-5257
Mailing address
219 W MAIN AVE STE 8, GASTONIA, NC 28052-4140
(704) 215-5771
(704) 215-5257
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
08/06/2024
Last updated
08/15/2024
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