| Star Center Inc. | |
|
13575 Lesure St Detroit MI 48227-3131 | |
| (313) 493-4410 | |
| Not Available |
| Full Name | Star Center Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 13575 Lesure St, Detroit, Michigan |
| Authorized Official Name and Position | Lucila Ryder (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3134934410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Star Center Inc. 13575 Lesure St Detroit MI 48227-3131 Ph: (313) 493-4410 | Star Center Inc. 13575 Lesure St Detroit MI 48227-3131 Ph: (313) 493-4410 |
| NPI Number | 1396122818 |
|---|---|
| Provider Enumeration Date | 05/05/2015 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396122818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 164W00000X (Michigan) | Primary |
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