Provider Demographics
NPI:1376288738
Name:EBRIGHT SOLUTIONS INC
Entity Type:Organization
Organization Name:EBRIGHT SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OBEHIOYE
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOIIJUANFO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:240-520-3197
Mailing Address - Street 1:14905 DOVEHEART LN
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3084
Mailing Address - Country:US
Mailing Address - Phone:301-254-6599
Mailing Address - Fax:
Practice Address - Street 1:14905 DOVEHEART LN
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-3084
Practice Address - Country:US
Practice Address - Phone:301-254-6599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-30
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty