NPI 1063662773

Functional Therapeutics INC Dba Brightstar Healthcare

Organisation Home Health Agency Glendale, WI

Practice location

Address: 5261 N Port Washington Rd STE 201, Glendale, WI 53217-4903
Phone: (414) 332-3884
Fax: (414) 332-3887

Authorised official

Name: Orest Carnevale
Title: President
Phone: (414) 332-3884

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X

Other Home Health providers in Wisconsin →

Registry record

NPI: 1063662773
Entity type: Organization
NPI issued: 30 Sep 2008
Record last updated: 30 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.