Organization
RISING STAR HOME CARE AND TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN HALKINI JR. (OWNER)
(928) 675-1356
Entity
Organization
Contact information
Practice address
2 MILES SW OF BLUE GAP CHAPTER, BLUE GAP, AZ 86520
(928) 657-1356
Mailing address
PO BOX 3397, CHINLE, AZ 86503-3397
(928) 675-1356
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
624795
AHCCCS
AZ
Enumeration date
08/11/2011
Last updated
08/18/2011
Update your record
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