NPI 1912502477
Mira Star Enterprises LLC
Practice location
- Address
- 3404 Manchester Way Dr, Westerville, OH 43081-8877
- Phone
- (614) 772-4391
Authorised official
- Name
- Fati Moro
- Title
- RN
- Phone
- (614) 772-4391
Registered specialties (4)
Nursing Care Agency
Primary
In Home Supportive Care Agency
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Child Intellectual and/or Developmental Disabilities Respite Care
Registry record
- NPI
- 1912502477
- Entity type
- Organization
- NPI issued
- 2 Dec 2020
- Record last updated
- 2 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.