Organization
5 STAR LOGISTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY CAROL RICH IAFT (CEO)
(919) 272-0504
Entity
Organization
Contact information
Practice address
3428 SONG SPARROW DR, WAKE FOREST, NC 27587-4800
(919) 272-0504
Mailing address
3428 SONG SPARROW DR, WAKE FOREST, NC 27587-4800
(919) 272-0504
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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