Organization
BRIGHT MOON GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN NICOLAS ORELUS REGISTERED NURSE (DIRECTOR)
(239) 245-4019
Entity
Organization
Contact information
Practice address
2600 NE 6TH PL, CAPE CORAL, FL 33909-4375
(239) 245-4019
Mailing address
2600 NE 6TH PL, CAPE CORAL, FL 33909-4375
(239) 245-4019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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