Marie Star, Inc.

NPI #1821165192 in Sunrise, Florida

Provider Information

NPI Number: 1821165192
Entity Type: Organization
Organization Name: Marie Star, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 29, 2006
Last Updated: Mar 24, 2009

Practice Location

Address: 11471 NW 35TH ST
City: Sunrise
State: Florida
ZIP Code: 33323-1419
Phone: (954) 742-6349

Authorized Official

Name: MRS. MARIE-STUART DERAVILE
Title: PRESIDENT
Phone: (954) 742-6349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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