Brightlane Healthcare INC
NPI #1487203832 in Montclair, California
Provider Information
- NPI Number
- 1487203832
- Entity Type
- Organization
- Organization Name
- Brightlane Healthcare INC
- Primary Specialty
- Home Health
- Enumeration Date
- Sep 9, 2019
- Last Updated
- Dec 29, 2022
Practice Location
- Address
- 5050 PALO VERDE ST STE 212
- City
- Montclair
- State
- California
- ZIP Code
- 91763-2334
- Phone
- (909) 529-8247
Authorized Official
- Name
- GREGORY PATACSIL
- Title
- ADMINISTRATOR
- Phone
- (909) 529-8247
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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