Provider Demographics
NPI:1669895389
Name:BRIGHTER TOMORROWS AT FLORALA MEMORIAL HOSPITAL LLC
Entity type:Organization
Organization Name:BRIGHTER TOMORROWS AT FLORALA MEMORIAL HOSPITAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-234-3177
Mailing Address - Street 1:789 FIRST STREET
Mailing Address - Street 2:
Mailing Address - City:FLORALA
Mailing Address - State:AL
Mailing Address - Zip Code:36442-3523
Mailing Address - Country:US
Mailing Address - Phone:334-858-2282
Mailing Address - Fax:334-858-2283
Practice Address - Street 1:24245 5TH AVE
Practice Address - Street 2:
Practice Address - City:FLORALA
Practice Address - State:AL
Practice Address - Zip Code:36442-3523
Practice Address - Country:US
Practice Address - Phone:334-858-2282
Practice Address - Fax:334-858-2283
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRIGHTER TOMORROWS AT FLORALA MEMORIAL HOSPITAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-31
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center