# TABOMA CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BrightStar Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326221557
- **Authorized official:** MR. JACK LOUKS (PRESIDENT)
- **Authorized official phone:** (262) 637-7767

## Contact information

- **Practice address:** 4701 WASHINGTON AVE, SUITE 290, RACINE, WI 53406-4232
- **Practice address phone:** (262) 637-7767
- **Practice address fax:** (262) 637-7764
- **Mailing address:** 4701 WASHINGTON AVE, SUITE 290, RACINE, WI 53406-4232
- **Mailing address phone:** (262) 637-7767
- **Mailing address fax:** (262) 637-7764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1082 | WI | Yes |
| 251J00000X | Nursing Care Agency | 1082 | WI | — |

## Other

- **Enumeration date:** 12/11/2007
- **Last updated:** 12/11/2007