Provider Demographics
NPI:1407035595
Name:DAYSTAR HOSPICE CARE LLC
Entity type:Organization
Organization Name:DAYSTAR HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:TRACIE
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:251-843-3151
Mailing Address - Street 1:PO BOX 144
Mailing Address - Street 2:
Mailing Address - City:GILBERTOWN
Mailing Address - State:AL
Mailing Address - Zip Code:36908-0144
Mailing Address - Country:US
Mailing Address - Phone:251-843-3151
Mailing Address - Fax:251-843-3158
Practice Address - Street 1:95 WEST MAIN STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:GILBERTOWN
Practice Address - State:AL
Practice Address - Zip Code:36908-2020
Practice Address - Country:US
Practice Address - Phone:251-843-3151
Practice Address - Fax:251-843-3158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based