Provider Demographics
NPI:1659613388
Name:BRIGHTBRIDGE ADULT DAY CENTER
Entity Type:Organization
Organization Name:BRIGHTBRIDGE ADULT DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MY-LYNH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-495-9927
Mailing Address - Street 1:1605 POTOMAC DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-1970
Mailing Address - Country:US
Mailing Address - Phone:281-495-9927
Mailing Address - Fax:888-676-5604
Practice Address - Street 1:1605 POTOMAC DR UNIT B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-1970
Practice Address - Country:US
Practice Address - Phone:281-495-9927
Practice Address - Fax:888-676-5604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251S00000XAgenciesCommunity/Behavioral Health