| NPI | 1720374358 |
|---|---|
| Other Name | S.T.A.R. |
| Entity Type | Organization |
| Authorized Contact | KEVIN M SHELTON Owner/President 863-603-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2024-01-19 |