Organization
BRIGHTSIDE MENTORSHIP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK KAISINGER (PRESIDENT)
(215) 606-7803
Entity
Organization
Contact information
Practice address
1995 E COALTON RD APT 75-103, SUPERIOR, CO 80027-4547
(215) 606-7803
Mailing address
1995 E COALTON RD APT 75-103, SUPERIOR, CO 80027-4547
(215) 606-7803
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/24/2022
Last updated
11/24/2022
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