| NPI | 1386052975 |
|---|---|
| Doing Business As | BRIGHTSTAR OF LAKE COUNTY INDIANA |
| Entity Type | Organization |
| Authorized Contact | TRACY L OVERLA President / Treasurer 219-924-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| Enumeration Date | 2014-07-26 |
| Last Update Date | 2014-07-26 |