Organization
BIG STAR EMPOWERMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAR IULI (MANAGER)
(619) 324-3344
Entity
Organization
Contact information
Practice address
2281 E 29TH AVE, APACHE JUNCTION, AZ 85119-6727
(619) 324-3344
Mailing address
9538 QUAIL CANYON RD, EL CAJON, CA 92021-6710
(619) 324-3344
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
12/08/2021
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