Organization
BRIGHTSTAR SENIOR LIVING OPERATIONS OF FORT WAYNE, LLC
Active
Parent organization
BRIGHTSTAR GROUP HOLDINGS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHTSTAR GROUP HOLDINGS, INC
Authorized official
LISA KASPER (COMPLIANCE PARALEGAL)
(847) 693-2003
Entity
Organization
Contact information
Practice address
11430 COLDWATER RD, FORT WAYNE, IN 46845-1253
(260) 234-2929
Mailing address
1125 TRI STATE PKWY STE 700, GURNEE, IL 60031-9177
(224) 419-3610
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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