Organization
NORLINE HEALTHCARE, INC
Active
Other names
BRIGHTSTAR WEST BEND
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY S JAWORSKI (VICE PRESIDENT)
(262) 677-9200
Entity
Organization
Contact information
Practice address
W227N16841 TILLIE LAKE CT, JACKSON, WI 53037-9000
(262) 677-9200
Mailing address
W227N16857 TILLIE LAKE CT, JACKSON, WI 53037-9000
(262) 677-9200
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52D2025813
CLIA
—
Enumeration date
11/29/2021
Last updated
04/17/2023
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