Organization
FIVE STAR ALTERNATIVE CARE NURSING CO
Active
Parent organization
FIVE STAR ALTERNATIVE CARE NURSING CO
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR ALTERNATIVE CARE NURSING CO
Authorized official
SANDRA R GAVNEY (OWNER)
(650) 814-0056
Entity
Organization
Contact information
Practice address
6617 STRATFORD ROAD, WOODBURY, MN 55125
(650) 814-0056
Mailing address
725 WILDWOOD LANE, PALO, CA 94303
(650) 814-0056
(650) 739-0659
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1040251-6-AFC
MN
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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