Provider Demographics
NPI:1659621381
Name:BRIGHTER FUTURES FOR YOU, LLC
Entity Type:Organization
Organization Name:BRIGHTER FUTURES FOR YOU, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:352-693-3083
Mailing Address - Street 1:2637 SW 175TH LOOP
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473
Mailing Address - Country:US
Mailing Address - Phone:352-693-3083
Mailing Address - Fax:352-693-3095
Practice Address - Street 1:2637 SW 175TH LOOP
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473
Practice Address - Country:US
Practice Address - Phone:352-693-3083
Practice Address - Fax:352-693-3095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004706400Medicaid