Provider Demographics
NPI:1376230144
Name:A BRIGHTER SITE INC
Entity Type:Organization
Organization Name:A BRIGHTER SITE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-839-3704
Mailing Address - Street 1:5723 W AUER AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-3135
Mailing Address - Country:US
Mailing Address - Phone:414-839-3704
Mailing Address - Fax:414-677-6978
Practice Address - Street 1:5723 W AUER AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-3135
Practice Address - Country:US
Practice Address - Phone:414-839-3704
Practice Address - Fax:414-677-6978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health