NPI | 1164707717 |
---|---|
Doing Business As | BRIGHTSTAR OF MAPLE GROVE |
Entity Type | Organization |
Authorized Contact | RICK G. GASS Owner 612-486-4023 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: MN 352031) |
Enumeration Date | 2011-10-14 |
Last Update Date | 2011-10-14 |