Organization
STARFISH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KULCHAREE LOR (PRESIDENT)
(651) 239-6333
Entity
Organization
Contact information
Practice address
1072 PAYNE AVE, SAINT PAUL, MN 55130-3843
(651) 239-6333
Mailing address
PO BOX 17475, SAINT PAUL, MN 55117-0475
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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