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NPI Code Detail

MEDICARE: STARFISH FAMILY SERVICES INC.

MEDICARE: STARFISH FAMILY SERVICES INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyMI

General Provider Information

NPI Number : 1184865776
Entity Type Code : Organization
Provider Name (Legal Business Name) : STARFISH FAMILY SERVICES INC.
Provider Business Mailing Address
First Line : 30000 HIVELEY ST
Second Line :
City : INKSTER
State : MI
Zip : 48141-1089
Country : US
Telephone Number : 248-615-9730
Fax Number : 248-615-1260
Provider Business Practice Location Address
First Line : 30000 HIVELEY ST
Second Line :
City : INKSTER
State : MI
Zip : 48141-1089
Country : US
Telephone Number : 248-615-9730
Fax Number : 248-615-1260
Authorized Official
Title or Position : CHEIF EXECUTIVE OFFICE
Name : MRS. ANN KALASS
Credential :
Telephone Number : 248-615-9730
Provider Enumeration Date : 03/12/2009
Last Update Date : 11/05/2009

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Directions to “STARFISH FAMILY SERVICES INC. ” Practice Location

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