# FB PEYTON ROCK OF AGING,LLC

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

## Provider details

- **NPI number:** 1861638470
- **Authorized official:** FBRADLEY PEYTON J.D., M.DIV. (PRESIDENT/OWNER)
- **Authorized official phone:** (410) 583-1944

## Contact information

- **Practice address:** 1421 CLARKVIEW RD, SUITE 100B, BALTIMORE, MD 21209-2133
- **Practice address phone:** (410) 583-1944
- **Practice address fax:** (410) 583-1966
- **Mailing address:** 1421 CLARKVIEW RD, SUITE 100B, BALTIMORE, MD 21209-2133
- **Mailing address phone:** (410) 583-1944
- **Mailing address fax:** (410) 583-1966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0810001 | MD | Yes |
| 251J00000X | Nursing Care Agency | 081001 | MD | — |

## Other

- **Enumeration date:** 01/02/2009
- **Last updated:** 01/02/2009
