Organization Name: | STAR COMMUNITY ADHC INC |
NPI Number: | 1205099025 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HERBERT HO (OWNER/PRESIDENT) |
Mailing Address: | 4410 North Peck Rd South El Monte |
State: | CA US |
Postal Code: | 91732 |
Phone Number: | 6264500700 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2008 |
NPI Last Update Date: | 03/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 060000840 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |