| NPI | 1477980803 |
|---|---|
| Doing Business As | BRIGHTSTAR MOUNTAINSIDE |
| Entity Type | Organization |
| Authorized Contact | ALAN BAGGETT Owner 801-290-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: UT 2013-HHA-UT00421) |
| Additional Taxonomies | 251E00000X Home Health (Licence: UT 2013-PCA-100630) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |