| Star Community Support Services | |
|
106 Chesley Dr Media PA 19063-1759 | |
| (610) 874-1119 | |
| (610) 565-3801 |
| Full Name | Star Community Support Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 106 Chesley Dr, Media, Pennsylvania |
| Authorized Official Name and Position | James Philip Kyle (CONTROLLER) |
| Authorized Official Contact | 6108741119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Community Support Services 106 Chesley Dr Media PA 19063-1759 Ph: (610) 874-1119 | Star Community Support Services 106 Chesley Dr Media PA 19063-1759 Ph: (610) 874-1119 |
| NPI Number | 1245947969 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245947969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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