Organization
BRIGHT HEALTH HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYDI DOMINGUEZ APRN (MANAGER)
(407) 960-1413
Entity
Organization
Contact information
Practice address
3592 ALOMA AVE STE 5, WINTER PARK, FL 32792-4012
(407) 960-1413
(407) 960-1553
Mailing address
3592 ALOMA AVE STE 5, WINTER PARK, FL 32792-4012
(407) 960-1413
(407) 960-1553
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN9380442
FLORIDA LICENSE
FL
Enumeration date
09/06/2021
Last updated
09/06/2021
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