Provider Demographics
NPI:1619309556
Name:THE BRIGHTER SIDE ADULT MEDICAL DAY HEALTH CENTER
Entity Type:Organization
Organization Name:THE BRIGHTER SIDE ADULT MEDICAL DAY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-817-7596
Mailing Address - Street 1:11 KAREN LN
Mailing Address - Street 2:
Mailing Address - City:DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-2380
Mailing Address - Country:US
Mailing Address - Phone:508-817-7596
Mailing Address - Fax:
Practice Address - Street 1:11 KAREN LN
Practice Address - Street 2:
Practice Address - City:DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-2380
Practice Address - Country:US
Practice Address - Phone:508-817-7596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care