Organization
STAR SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH ANNE DOAN M.ED (OWNER/ EXECUTIVE DIRECTOR)
(606) 392-3847
Entity
Organization
Contact information
Practice address
55 INNER BANK DR, SOMERSET, KY 42503-6542
(606) 392-3847
Mailing address
55 INNER BANK DR, SOMERSET, KY 42503-6542
(606) 392-3847
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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