Provider Demographics
NPI:1164805826
Name:STAR CITY MANAGEMENT
Entity Type:Organization
Organization Name:STAR CITY MANAGEMENT
Other - Org Name:BLUE RIDGE SENIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE-BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-725-7575
Mailing Address - Street 1:2727 ELECTRIC RD STE 203
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3546
Mailing Address - Country:US
Mailing Address - Phone:540-725-7575
Mailing Address - Fax:540-725-7792
Practice Address - Street 1:2727 ELECTRIC RD STE 203
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3546
Practice Address - Country:US
Practice Address - Phone:540-725-7575
Practice Address - Fax:540-725-7792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care