Provider Demographics
NPI:1952014755
Name:BRIGHTER CARE ADULT DAYCARE CENTER LLC
Entity Type:Organization
Organization Name:BRIGHTER CARE ADULT DAYCARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWN/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANTELL
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-828-3045
Mailing Address - Street 1:415 AVENUE A STE 100
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-4260
Mailing Address - Country:US
Mailing Address - Phone:772-828-3045
Mailing Address - Fax:772-302-3807
Practice Address - Street 1:415 AVENUE A STE 100
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4260
Practice Address - Country:US
Practice Address - Phone:772-828-3045
Practice Address - Fax:772-302-3807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-27
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care