Organization
MIRA STAR ENTERPRISES LLC
Active
Other names
Compassionate Touch Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
FATI MORO BSN (RN)
(614) 772-4391
Entity
Organization
Contact information
Practice address
3404 MANCHESTER WAY DR, WESTERVILLE, OH 43081-8877
(614) 772-4391
Mailing address
3404 MANCHESTER WAY DR, WESTERVILLE, OH 43081-8877
(614) 772-4391
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0379003
—
OH
Enumeration date
12/02/2020
Last updated
12/02/2020
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