Star Light LLC

NPI #1528682143 in Montrose, Colorado

Provider Information

NPI Number: 1528682143
Entity Type: Organization
Organization Name: Star Light LLC
Subpart: Yes (part of a larger organization)
Parent Organization: STAR LIGHT LLC
Primary Specialty: Home Health
Enumeration Date: May 29, 2020
Last Updated: May 29, 2020

Practice Location

Address: 122 S PARK AVE
City: Montrose
State: Colorado
ZIP Code: 81401-3950
Phone: (970) 417-4812

Authorized Official

Name: KITTY MARGARET TURNER VRADENBURG, DO
Title: REGIONAL BUSINESS DIRECTOR
Phone: (602) 710-4411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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