Provider Demographics
NPI:1710134770
Name:BRIGHT HEART HEALTHCARE STAFFING
Entity Type:Organization
Organization Name:BRIGHT HEART HEALTHCARE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GIDEON
Authorized Official - Middle Name:IKECHUKWU
Authorized Official - Last Name:OCHIABUTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-554-0518
Mailing Address - Street 1:2504 RAREFORD RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28305
Mailing Address - Country:US
Mailing Address - Phone:910-438-0727
Mailing Address - Fax:
Practice Address - Street 1:2504 RAREFORD RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305
Practice Address - Country:US
Practice Address - Phone:910-438-0727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC29909251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care