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 |