Provider Demographics
NPI:1114635141
Name:BRIGHT MORNING STAR ADULT FOSTER CARE
Entity Type:Organization
Organization Name:BRIGHT MORNING STAR ADULT FOSTER CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHERLIE
Authorized Official - Middle Name:DENEUS
Authorized Official - Last Name:SAINTELUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-218-0369
Mailing Address - Street 1:172 PAGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-3467
Mailing Address - Country:US
Mailing Address - Phone:407-218-0369
Mailing Address - Fax:
Practice Address - Street 1:172 PAGE ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-3467
Practice Address - Country:US
Practice Address - Phone:407-218-0369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency