Provider Demographics
NPI:1245548254
Name:HOWARD-WILSON STARZ, INC
Entity type:Organization
Organization Name:HOWARD-WILSON STARZ, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH CARE AIDE
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOWARD-WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-330-9632
Mailing Address - Street 1:3800 FAIRHOOPE RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3800 FAIRHOOPE RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193
Practice Address - Country:US
Practice Address - Phone:571-330-9632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOWARD-WILSON STARZ, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle