Provider Demographics
NPI:1831636851
Name:BRIGHT SUN HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:BRIGHT SUN HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:EZANGONO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-723-8230
Mailing Address - Street 1:4102 INDEPENDENCE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-3820
Mailing Address - Country:US
Mailing Address - Phone:240-723-8230
Mailing Address - Fax:
Practice Address - Street 1:4102 INDEPENDENCE ST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-3820
Practice Address - Country:US
Practice Address - Phone:240-723-8230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-28
Last Update Date:2017-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health