Organization
BRIGHTLANE OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIZOL CUEVAS (PRESIDENT)
(800) 780-2907
Entity
Organization
Contact information
Practice address
503 1/2 S MYRTLE AVE # 3, MONROVIA, CA 91016-5101
(800) 780-2907
(323) 760-7224
Mailing address
503 1/2 S MYRTLE AVE STE 3, MONROVIA, CA 91016-5101
(800) 780-2907
(323) 760-7224
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
02/16/2021
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