Organization
BRIGHT OUTSTANDING STARS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR GURGANUS (INFANT TODDLER FAMILY SPECIALIST)
(252) 340-1395
Entity
Organization
Contact information
Practice address
1127 AZALEA TRL, ELIZABETH CITY, NC 27909-2721
(252) 340-1395
(252) 562-6312
Mailing address
1127 AZALEA TRL, ELIZABETH CITY, NC 27909-2721
(252) 340-1395
(252) 562-6312
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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