Organization
STARCARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANN WALLS APRN, FNP-C (MANAGER)
(623) 261-4051
Entity
Organization
Contact information
Practice address
9416 W COLTER ST, GLENDALE, AZ 85305-3373
(623) 261-4051
(623) 516-4401
Mailing address
9416 W COLTER ST, GLENDALE, AZ 85305-3373
(623) 261-4051
(623) 516-4401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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