Organization
BRIGHTSIDE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY HUSTED (OWNER/PRESIDENT)
(614) 329-8428
Entity
Organization
Contact information
Practice address
4312 DIVISION AVE N, COMSTOCK PARK, MI 49321-9546
(614) 329-8428
Mailing address
PO BOX 220, DOUGLAS, MI 49406
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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