Organization
STAR HEALTHCARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NNAMDI AGUBAMA (DIRECTOR)
(919) 471-4444
Entity
Organization
Contact information
Practice address
4422 N ROXBORO ST, SUITE A, DURHAM, NC 27704-1830
(919) 471-4444
(919) 471-1515
Mailing address
4422 N ROXBORO ST, SUITE A, DURHAM, NC 27704-1830
(919) 471-4444
(919) 471-1515
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3831
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
PERSONAL CARE SERVICES
NC
Enumeration date
07/01/2009
Last updated
07/01/2009
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