Provider Demographics
NPI:1720695786
Name:BRIGHT LIFE COMMUNITY CARE CORP
Entity Type:Organization
Organization Name:BRIGHT LIFE COMMUNITY CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-703-9799
Mailing Address - Street 1:9145 SW 40TH ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-5371
Mailing Address - Country:US
Mailing Address - Phone:786-703-9799
Mailing Address - Fax:786-703-9796
Practice Address - Street 1:9145 SW 40TH ST STE 1B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-5371
Practice Address - Country:US
Practice Address - Phone:786-703-9799
Practice Address - Fax:786-703-9796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management