Organization
BRIGHTSTAR HOMES AND SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELICA GREENE (OPERATIONS MANAGER)
(678) 458-2652
Entity
Organization
Contact information
Practice address
5135 GOLFBROOK CT, STONE MOUNTAIN, GA 30088-3117
(678) 458-2652
(770) 879-3561
Mailing address
950 EAGLES LANDING PKWY STE 282, STOCKBRIDGE, GA 30281-7343
(678) 458-2652
(770) 879-3561
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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