Organization
STARLINE COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSES MWAURA IV BUSINESS MANAGER (BUSINESS MANAGER)
(574) 289-0031
Entity
Organization
Contact information
Practice address
1909 ALTGELD ST, SOUTH BEND, IN 46614-1605
(574) 289-0031
Mailing address
1909 ALTGELD ST, SOUTH BEND, IN 46614-1605
(574) 289-0031
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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