| NPI | 1649597196 |
|---|---|
| Doing Business As | BRIGHTSTAR LAKE FOREST |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS EVELYN STRAIGHT President/Owner 949-837-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |