Organization
STAR HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD WILSON (COO)
(734) 837-2708
Entity
Organization
Contact information
Practice address
32431 SCHOOLCRAFT RD, LIVONIA, MI 48150-4300
(734) 261-3576
(734) 338-8515
Mailing address
32431 SCHOOLCRAFT RD, LIVONIA, MI 48150-4300
(734) 261-3576
(734) 338-8515
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1215982301
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215982301
—
MI
Enumeration date
08/11/2010
Last updated
08/11/2010
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