Healthcare Provider Details

I. General information

NPI: 1407978174
Provider Name (Legal Business Name): NORTH STAR SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 09/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 LAKEMONT PARK BLVD
ALTOONA PA
16602-5943
US

IV. Provider business mailing address

125 LAKEMONT PARK BLVD
ALTOONA PA
16602-5943
US

V. Phone/Fax

Practice location:
  • Phone: 814-946-3657
  • Fax: 814-946-4032
Mailing address:
  • Phone: 814-946-3657
  • Fax: 814-946-4032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: SANDRA ARNOLD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 814-946-3657