Provider Demographics
NPI:1649597196
Name:STRAIGHT ENTERPRISES, INC.
Entity Type:Organization
Organization Name:STRAIGHT ENTERPRISES, INC.
Other - Org Name:BRIGHTSTAR LAKE FOREST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:EVELYN
Authorized Official - Last Name:STRAIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-837-7000
Mailing Address - Street 1:23591 EL TORO RD
Mailing Address - Street 2:SUITE 155
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-4774
Mailing Address - Country:US
Mailing Address - Phone:949-837-7000
Mailing Address - Fax:949-417-2185
Practice Address - Street 1:23591 EL TORO RD
Practice Address - Street 2:SUITE 155
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-4774
Practice Address - Country:US
Practice Address - Phone:949-837-7000
Practice Address - Fax:949-417-2185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health