NPI | 1164993028 |
---|---|
Doing Business As | BRIGHTSTAR CARE OF FAYETTEVILLE |
Entity Type | Organization |
Authorized Contact | RUDOLPH OTTIS Agency Director/CEO 470-615-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Enumeration Date | 2018-12-17 |
Last Update Date | 2022-09-02 |