# BRIGHTSIDE LIVING SUPPORT CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124903810
- **Authorized official:** SHAMEKA HAYGOOD (MANAGERR)
- **Authorized official phone:** (813) 466-8968

## Contact information

- **Practice address:** 4733 HICKORY STREAM LN, MULBERRY, FL 33860-7915
- **Practice address phone:** (813) 466-8968
- **Mailing address:** 4733 HICKORY STREAM LN, MULBERRY, FL 33860-7915
- **Mailing address phone:** (813) 466-8968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2025
- **Last updated:** 08/11/2025