Provider Demographics
NPI:1508276338
Name:BABY BRIGHT, INC.
Entity Type:Organization
Organization Name:BABY BRIGHT, INC.
Other - Org Name:FORZA, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-492-4488
Mailing Address - Street 1:33344 GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-3124
Mailing Address - Country:US
Mailing Address - Phone:313-492-4488
Mailing Address - Fax:248-284-1046
Practice Address - Street 1:33344 GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-3124
Practice Address - Country:US
Practice Address - Phone:313-492-4488
Practice Address - Fax:248-284-1046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-01
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health