Provider Demographics
NPI:1942658505
Name:BRIGHTER HORIZONS ADULT DAY CENTER
Entity Type:Organization
Organization Name:BRIGHTER HORIZONS ADULT DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAUER NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-232-0541
Mailing Address - Street 1:307 1/2 NW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:BRAINERD
Mailing Address - State:MN
Mailing Address - Zip Code:56401-3212
Mailing Address - Country:US
Mailing Address - Phone:218-829-0636
Mailing Address - Fax:218-829-0068
Practice Address - Street 1:307 1/2 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:BRAINERD
Practice Address - State:MN
Practice Address - Zip Code:56401-3212
Practice Address - Country:US
Practice Address - Phone:218-829-0636
Practice Address - Fax:218-829-0068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1077546-1-ADC261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care