Organization
NORTHSTAR CARE SERVICES LLC
Active
Other names
The Charleston Club
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUGH B CLARK MBA (CEO)
(513) 755-9599
Entity
Organization
Contact information
Practice address
7786 SERVICE CENTER DR, WEST CHESTER, OH 45069-2442
(513) 755-9599
(513) 755-2824
Mailing address
7786 SERVICE CENTER DR, WEST CHESTER, OH 45069-2442
(513) 755-9599
(513) 755-2824
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2803729
—
OH
Enumeration date
05/19/2009
Last updated
05/19/2009
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