Organization
DAYSTAR ADULT DAY PROGRAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONACA MAYE WILLIAMSON QP (CEO)
(336) 273-2110
Entity
Organization
Contact information
Practice address
415 N EDGEWORTH ST STE 209, GREENSBORO, NC 27401-2071
(336) 273-2110
(336) 273-2114
Mailing address
PO BOX 16184, GREENSBORO, NC 27416-0184
(336) 273-2110
(336) 273-2114
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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