Provider Demographics
NPI:1225308372
Name:BRIGHTER DAY ADULT SERVICES
Entity Type:Organization
Organization Name:BRIGHTER DAY ADULT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALTISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ODEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-402-6191
Mailing Address - Street 1:106 WYNDHAM CIR
Mailing Address - Street 2:APT B
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-1659
Mailing Address - Country:US
Mailing Address - Phone:252-402-6191
Mailing Address - Fax:
Practice Address - Street 1:106 WYNDHAM CIRCLE
Practice Address - Street 2:APT B
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-402-6191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care