Provider Demographics
NPI:1144805250
Name:A BRIGHTER HERITAGE, INC.
Entity Type:Organization
Organization Name:A BRIGHTER HERITAGE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MATTILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:MOM, HHS, CMA
Authorized Official - Phone:706-619-8490
Mailing Address - Street 1:2408 LISBON RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30906-4071
Mailing Address - Country:US
Mailing Address - Phone:706-619-8490
Mailing Address - Fax:
Practice Address - Street 1:2408 LISBON RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30906-4071
Practice Address - Country:US
Practice Address - Phone:706-619-8490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No251V00000XAgenciesVoluntary or Charitable