Provider Demographics
NPI:1710123815
Name:BRIGHT STAR SERVICES, INC.
Entity Type:Organization
Organization Name:BRIGHT STAR SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MOSES
Authorized Official - Middle Name:OGU
Authorized Official - Last Name:NWAIGWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-904-6994
Mailing Address - Street 1:PO BOX 270342
Mailing Address - Street 2:4706 GALWAY DR
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78427-0342
Mailing Address - Country:US
Mailing Address - Phone:361-904-6994
Mailing Address - Fax:
Practice Address - Street 1:4706 GALWAY DR
Practice Address - Street 2:4706 GALWAY DR
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-3511
Practice Address - Country:US
Practice Address - Phone:361-904-6994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-20
Last Update Date:2008-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child