Healthcare Provider Details

I. General information

NPI: 1326358409
Provider Name (Legal Business Name): BRIGHTER DAY SUPPORT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2010
Last Update Date: 10/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6056 GROVELINE DR
ORLANDO FL
32810-6031
US

IV. Provider business mailing address

PO BOX 784688
WINTER GARDEN FL
34778-4688
US

V. Phone/Fax

Practice location:
  • Phone: 352-217-2875
  • Fax: 352-394-0578
Mailing address:
  • Phone: 352-217-2875
  • Fax: 352-394-0528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL ROLLINS
Title or Position: DIRECTOR
Credential: OTR/L
Phone: 352-217-2875