Organization
BRIGHTSTAR ASSISTED LIVING LLC
Active
Other names
Brightstar Assisted living LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GERMINE LORMERA (ADMINISTRATOR)
(954) 864-9098
Entity
Organization
Contact information
Practice address
1613 SW MERIDIAN AVE, PORT SAINT LUCIE, FL 34953-4300
(954) 864-9098
(772) 807-1866
Mailing address
1613 SW MERIDIAN AVE, PORT SAINT LUCIE, FL 34953-4300
(954) 864-9098
(772) 807-1866
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109954800
—
FL
Enumeration date
09/12/2022
Last updated
09/27/2022
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