Organization Name: | NORTH STAR HEALTHCARE, INC |
NPI Number: | 1568886042 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NELS LUND (PRESIDENT) |
Mailing Address: | 667 Brea Canyon Rd Ste 27 Walnut |
State: | CA US |
Postal Code: | 917893011 |
Phone Number: | 9093485500 |
Fax Number: | 9094944089 |
NPI Enumeration Date: | 02/05/2014 |
NPI Last Update Date: | 02/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |