Organization
STAR CARE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI SELF (BILLING MANAGER)
(337) 312-1446
Entity
Organization
Contact information
Practice address
313 ALAMO ST, SUITE B, LAKE CHARLES, LA 70601-8528
(337) 436-5690
Mailing address
PO BOX 4610, LAKE CHARLES, LA 70606-4610
(337) 312-1446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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