| NPI | 1144534793 |
|---|---|
| Doing Business As | BRIGHTSTAR OF FORT WAYNE |
| Entity Type | Organization |
| Authorized Contact | STEVE FREDRICK ZISHKA CEO 260-918-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: IN Application Pending) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |