Organization
BRIGHT OUTSTANDING STARS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR GURGANUS (OWNER)
(252) 340-1395
Entity
Organization
Contact information
Practice address
107 SEEVIEW LN, HERTFORD, NC 27944-8095
(252) 340-1395
Mailing address
107 SEEVIEW LN, HERTFORD, NC 27944-8095
(252) 340-1395
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
NC
Other
Enumeration date
11/27/2017
Last updated
01/03/2022
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