Healthcare Provider Details

I. General information

NPI: 1407481617
Provider Name (Legal Business Name): STARCO OPS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2020
Last Update Date: 03/08/2020
Certification Date: 03/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 E VICTORY ST
STAR CITY AR
71667-5327
US

IV. Provider business mailing address

505 E VICTORY ST
STAR CITY AR
71667-5327
US

V. Phone/Fax

Practice location:
  • Phone: 870-619-2139
  • Fax: 870-628-5316
Mailing address:
  • Phone: 870-619-2139
  • Fax: 870-628-5316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY BRANDON ADAMS
Title or Position: MEMBER, LLC
Credential:
Phone: 501-932-0050