Organization
ST. LUKE'S HOMESTAR SERVICES LLC
Active
Other names
HomeStar Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH BOROCH COO (PRESIDENT)
(610) 419-7610
Entity
Organization
Contact information
Practice address
1200 WELSH RD, NORTH WALES, PA 19454-3771
(215) 529-6351
(610) 882-9105
Mailing address
77 S COMMERCE WAY, BETHLEHEM, PA 18017
(610) 419-7610
(610) 882-9105
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1000002573
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021947390004
—
PA
01
—
213649
HIGHMARK
—
01
—
39HA15
CAPITAL BLUE CROSS
—
Enumeration date
12/01/2010
Last updated
12/10/2010
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