Organization
TRI-STAR HOME CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOMPHAT SANAVONGSAY (OWNER)
(312) 899-6469
Entity
Organization
Contact information
Practice address
1632 GLENEAGLE DR, CARPENTERSVILLE, IL 60110-3308
(312) 899-6469
Mailing address
1632 GLENEAGLE DR, CARPENTERSVILLE, IL 60110-3308
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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