Organization
STARLIGHT HEALTH CARE SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN O OMBASA (DIRECTOR)
(763) 439-8665
Entity
Organization
Contact information
Practice address
17674 54TH CT NE, OTSEGO, MN 55374-4644
(763) 439-8665
Mailing address
17674 54TH CT NE, OTSEGO, MN 55374-4644
(763) 439-8665
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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