Organization
SOUTHEASTERN HEALTHCARE, LLC
Active
Other names
BrightStar Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KOHAN (PRESIDENT/OWNER)
(757) 206-1167
Entity
Organization
Contact information
Practice address
161A JOHN JEFFERSON RD., WILLIAMSBURG, VA 23185-5640
(757) 206-1167
(757) 208-0639
Mailing address
161A JOHN JEFFERSON RD., WILLIAMSBURG, VA 23185-5640
(757) 206-1167
(757) 208-0639
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-09566
VA
253Z00000X
In Home Supportive Care Agency
HCO-09566
VA
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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