Organization
BRIGHTSIDE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GLADYS E HUIZA (OFFICE MANAGER)
(954) 903-1731
Entity
Organization
Contact information
Practice address
2020 W MCNAB RD STE 124, FORT LAUDERDALE, FL 33309-1032
(954) 903-1731
Mailing address
2020 W MCNAB RD STE 124, FORT LAUDERDALE, FL 33309-1032
(954) 903-1731
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30211849
NURSE REGISTRY
FL
Enumeration date
03/29/2016
Last updated
09/21/2020
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