Star Healthcare Registry
NPI #1942565627 in Terry, Mississippi
Provider Information
- NPI Number
- 1942565627
- Entity Type
- Organization
- Organization Name
- Star Healthcare Registry
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jul 10, 2012
- Last Updated
- Jul 10, 2012
Practice Location
- Address
- 113 MAXWELL CV
- City
- Terry
- State
- Mississippi
- ZIP Code
- 39170-9514
- Phone
- (601) 918-4669
Authorized Official
- Name
- VALERIA SIMS
- Title
- OWNER/DIRECTOR
- Phone
- (601) 918-4669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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