Organization
STAR BRIGHT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FANNIE MAE JOHNSON (OWNER)
(606) 598-0598
Entity
Organization
Contact information
Practice address
2983 SOUTH HIGHWAY 421, MANCHESTER, KY 40962-2983
(606) 598-0598
(606) 598-0610
Mailing address
PO BOX 326, MANCHESTER, KY 40962-0326
(606) 598-0598
(606) 598-0610
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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