Organization
BRIGHT STAR MEMORY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIA KOMBA (OWNER)
(240) 498-1879
Entity
Organization
Contact information
Practice address
2 LAKEWAY PL, SIMPSONVILLE, SC 29681-4781
(240) 498-1879
Mailing address
2 LAKEWAY PL, SIMPSONVILLE, SC 29681-4781
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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