Organization
BRIGHTSTAR ESCONDIDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY KAISER R.N. (DIRECTOR OF NURSING)
(760) 738-1926
Entity
Organization
Contact information
Practice address
639 N ESCONDIDO BLVD, ESCONDIDO, CA 92025-1701
(760) 738-1926
Mailing address
639 N ESCONDIDO BLVD, ESCONDIDO, CA 92025-1701
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
620821
CA
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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