| NPI | 1962768168 |
|---|---|
| Doing Business As | HEALTHSTAR PEDIATRIC HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | STACI CARLSON Administrator/Owner 915-779-7827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2015-08-19 |