Organization
MILLBROOKE INC
Active
Other names
BrightStar Care Springfield
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE CHRISTOPHER MILLER PH.D (PRESIDENT/OWNER)
(217) 318-3396
Entity
Organization
Contact information
Practice address
426 S 5TH ST, SPRINGFIELD, IL 62701-1820
(217) 318-3396
(217) 717-2619
Mailing address
426 S 5TH ST, SPRINGFIELD, IL 62701-1820
(217) 318-3396
(217) 717-2619
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
2015-N1386
IL
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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