Organization
AA GRANT
Active
Other names
BrightStar Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
AILEEN GRANT (PRESIDENT)
(949) 837-7000
Entity
Organization
Contact information
Practice address
23591 EL TORO RD STE 155, LAKE FOREST, CA 92630-4765
(949) 837-7000
Mailing address
23591 EL TORO RD,, STE 155, LAKE FOREST, CA 92630-4765
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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