Organization
STELLAR HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN SMITH (ADMINISTRATOR)
(602) 300-3345
Entity
Organization
Contact information
Practice address
9255 E DESERT TRL, SCOTTSDALE, AZ 85260-4543
(480) 661-1164
Mailing address
9255 E DESERT TRL, SCOTTSDALE, AZ 85260-4543
(480) 661-1164
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA5319
ARIZONA DEPARTMENT OF HEALTH SERVICES LICENSE
AZ
Enumeration date
09/09/2011
Last updated
07/31/2012
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