Organization
HOME PHARM L.L.C
Active
Other names
BrightStar Care
Organization subpart
No
Provider details
NPI number
Authorized official
ASSAD HUSSAIN (BRANCH MANAGER)
(609) 442-7815
Entity
Organization
Contact information
Practice address
410 N DILLARD ST STE 102, WINTER GARDEN, FL 34787-2853
(407) 877-0720
Mailing address
410 N DILLARD ST STE 102, WINTER GARDEN, FL 34787-2853
(407) 877-0720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299993472
LICENSE
FL
Enumeration date
09/25/2019
Last updated
12/07/2020
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