Healthcare Provider Details

I. General information

NPI: 1396257218
Provider Name (Legal Business Name): A BRIGHTER DAY 365, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2017
Last Update Date: 06/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2742 LIMERICK CIR
GRAND ISLAND FL
32735
US

IV. Provider business mailing address

2742 LIMERICK CIR
GRAND ISLAND FL
32735-9009
US

V. Phone/Fax

Practice location:
  • Phone: 352-409-5490
  • Fax: 352-409-5490
Mailing address:
  • Phone: 352-409-5490
  • Fax: 352-409-5490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS BRITTANY JONES
Title or Position: OWNER
Credential:
Phone: 352-409-5490