Organization
CWS CARE LLC.
Active
Other names
BrightStar Care of Provo, BrightStar Care of Provo Skilled
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY CELENA WADIAK REGISTERED NURSE (OWNER)
(313) 590-1240
Entity
Organization
Contact information
Practice address
193 N 290 W, LINDON, UT 84042-5001
(313) 590-1240
Mailing address
193 N 290 W, LINDON, UT 84042-5001
(313) 590-1240
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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