Whalio Doctors

NPI 1831457068

Star Bright, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Manchester, KY

Practice location

Address
2983 South Highway 421, Manchester, KY 40962-2983
Phone
(606) 598-0598
Fax
(606) 598-0610
Mailing address
PO Box 326, Manchester, KY 40962-0326

Authorised official

Name
Fannie Mae Johnson
Title
Owner
Phone
(606) 598-0598

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1831457068
Entity type
Organization
NPI issued
25 Apr 2012
Record last updated
25 Apr 2012

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.