Organization
STARLIGHT MEDICAL LLC
Active
Organization
STARLIGHT MEDICAL LLC
Active
Other names
Starlight Transportation Services
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO ALEJANDRO CASTANO (CEO)
(770) 757-7771
Entity
Organization
Contact information
Practice address
1909 GRENACHE LN NW, KENNESAW, GA 30152-6770
(770) 757-7771
Mailing address
1909 GRENACHE LN NW, KENNESAW, GA 30152-6770
(770) 757-7771
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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