Organization
BRIGHT STAR RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENEMA MASSAQUOI OWNER (OWNER)
(480) 708-8512
Entity
Organization
Contact information
Practice address
6932 W BEATRICE ST, PHOENIX, AZ 85043-2397
(806) 341-8658
Mailing address
3108 S 92ND DR, TOLLESON, AZ 85353-5541
(806) 341-8658
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/13/2025
Last updated
09/15/2025
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