Healthcare Provider Details

I. General information

NPI: 1659078889
Provider Name (Legal Business Name): BRIGHTER DAYS PPEC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2023
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4241 N US HIGHWAY 1
MELBOURNE FL
32935-4822
US

IV. Provider business mailing address

4241 N US HIGHWAY 1
MELBOURNE FL
32935-4822
US

V. Phone/Fax

Practice location:
  • Phone: 786-351-4493
  • Fax:
Mailing address:
  • Phone: 786-351-4493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. JESSICA MEDINA
Title or Position: CEO
Credential:
Phone: 786-773-8356