Organization
BRIGHT STAR SENIOR HOUSING, LLC
Active
Other names
VINTAGE CARE SENIOR HOUSING, Vintage Care Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
SETH WALKER (CFO)
(850) 583-7990
Entity
Organization
Contact information
Practice address
203 S MOODY RD, PALATKA, FL 32177-3903
(386) 329-9905
Mailing address
2528 BARRINGTON CIR, TALLAHASSEE, FL 32308-3888
(850) 583-7990
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024960400
—
FL
Enumeration date
05/10/2018
Last updated
09/09/2020
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