Healthcare Provider Details

I. General information

NPI: 1114164803
Provider Name (Legal Business Name): A BRIGHTER CHOICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2009
Last Update Date: 01/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 LAKEVIEW DR
LAWRENCEBURG KY
40342-1437
US

IV. Provider business mailing address

PO BOX 691
LAWRENCEBURG KY
40342-0691
US

V. Phone/Fax

Practice location:
  • Phone: 859-238-7611
  • Fax: 859-236-7225
Mailing address:
  • Phone: 859-238-7611
  • Fax: 859-236-7225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number1058509
License Number StateKY

VIII. Authorized Official

Name: MRS. LINDA S. DYE
Title or Position: OWNER
Credential: RN
Phone: 859-238-7611