Provider Demographics
NPI:1508313917
Name:STARS4UCOLLECTION INC
Entity Type:Organization
Organization Name:STARS4UCOLLECTION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-481-8779
Mailing Address - Street 1:9620 POTTERS HILL CIRCLE
Mailing Address - Street 2:7038883576
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079
Mailing Address - Country:US
Mailing Address - Phone:240-481-8779
Mailing Address - Fax:703-888-3576
Practice Address - Street 1:9620 POTTERS HILL CIR
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-2317
Practice Address - Country:US
Practice Address - Phone:240-481-8779
Practice Address - Fax:703-888-3576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies