Organization
BRIGHTSIDE LIVING SUPPORT CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMEKA HAYGOOD (MANAGERR)
(813) 466-8968
Entity
Organization
Contact information
Practice address
4733 HICKORY STREAM LN, MULBERRY, FL 33860-7915
(813) 466-8968
Mailing address
4733 HICKORY STREAM LN, MULBERRY, FL 33860-7915
(813) 466-8968
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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