| Bright Outstanding Stars, Llc | |
|
107 Seeview Ln Hertford NC 27944-8095 | |
| (252) 340-1395 | |
| Not Available |
| Full Name | Bright Outstanding Stars, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 Seeview Ln, Hertford, North Carolina |
| Authorized Official Name and Position | Taylor Gurganus (OWNER) |
| Authorized Official Contact | 2523401395 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Outstanding Stars, Llc 107 Seeview Ln Hertford NC 27944-8095 Ph: (252) 340-1395 | Bright Outstanding Stars, Llc 107 Seeview Ln Hertford NC 27944-8095 Ph: (252) 340-1395 |
| NPI Number | 1114431319 |
|---|---|
| Provider Enumeration Date | 11/27/2017 |
| Last Update Date | 01/03/2022 |
| Certification Date | 01/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114431319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (North Carolina) | Secondary |
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