Star Light Home Health

NPI #1508036450 in Longview, Texas

Provider Information

NPI Number: 1508036450
Entity Type: Organization
Organization Name: Star Light Home Health
Primary Specialty: Home Health
Enumeration Date: Mar 6, 2008
Last Updated: Jul 12, 2011

Practice Location

Address: 409 N FREDONIA ST
Address 2: SUITE 114
City: Longview
State: Texas
ZIP Code: 75601-6466
Phone: (903) 985-6084

Authorized Official

Name: MS. WYSPHER WILKES
Title: DIRECTOR OF REIMBURSEMENT
Phone: 17034358304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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