Organization
METROSTAR HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRVANA BAIL (EXECUTIVE DIRECTOR)
(863) 348-1300
Entity
Organization
Contact information
Practice address
141 W CENTRAL AVE STE 9, WINTER HAVEN, FL 33880-6329
(863) 348-1300
Mailing address
141 W CENTRAL AVE STE 9, WINTER HAVEN, FL 33880-6329
(863) 348-1300
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122637900
—
FL
Enumeration date
07/18/2024
Last updated
07/18/2024
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