Organization
DOMUS LIFECARE,LLC
Active
Other names
BrightStar
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DAVID STEVENSON (OWNER/MANAGING PARTNER)
(210) 337-3355
Entity
Organization
Contact information
Practice address
7400 BLANCO RD, SUITE 111, SAN ANTONIO, TX 78216-4360
(210) 337-3355
(210) 337-3356
Mailing address
7400 BLANCO RD, SUITE 111, SAN ANTONIO, TX 78216-4360
(210) 337-3355
(210) 337-3356
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2833709
—
TX
Enumeration date
10/21/2009
Last updated
04/13/2012
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