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Organization
BRIGHTSIDE LIVING LLC
Active
Organization
BRIGHTSIDE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY HUSTED (OWNER)
(614) 329-8428
Entity
Organization
Contact information
Practice address
6601 CRYSTAL DOWNES DR SE, CALEDONIA, MI 49316-9090
(616) 803-5338
Mailing address
PO BOX 220, DOUGLAS, MI 49406-0220
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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