Organization
HEART OF A STAR HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD SAMUEL GRAY (OWNER)
(763) 283-0671
Entity
Organization
Contact information
Practice address
6430 TOLEDO AVE N, BROOKLYN CENTER, MN 55429-2037
(763) 283-0670
(763) 703-5162
Mailing address
6251 104TH CIR N, BROOKLYN PARK, MN 55443-1026
(763) 283-0671
(763) 703-5162
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
04/23/2024
Last updated
07/27/2024
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