Provider Demographics
NPI:1467703702
Name:BRIGHT HOPE EDUCATIONAL LEARNING CENTER
Entity Type:Organization
Organization Name:BRIGHT HOPE EDUCATIONAL LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-401-2636
Mailing Address - Street 1:PO BOX 81
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24505-0081
Mailing Address - Country:US
Mailing Address - Phone:434-401-2636
Mailing Address - Fax:434-528-4502
Practice Address - Street 1:2310 FORT AVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2710
Practice Address - Country:US
Practice Address - Phone:434-401-2636
Practice Address - Fax:434-528-4502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services