Provider Demographics
NPI:1184923641
Name:STARLINK SERVICES
Entity type:Organization
Organization Name:STARLINK SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ISOA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:602-384-7179
Mailing Address - Street 1:13805 W VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-1612
Mailing Address - Country:US
Mailing Address - Phone:602-384-7179
Mailing Address - Fax:
Practice Address - Street 1:13805 W VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-1612
Practice Address - Country:US
Practice Address - Phone:602-384-7179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ217921OtherAHCCCS