Healthcare Provider Details

I. General information

NPI: 1740121177
Provider Name (Legal Business Name): BRIGHTALLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3513 CORN STREAM RD
RANDALLSTOWN MD
21133-2441
US

IV. Provider business mailing address

3513 CORN STREAM RD
RANDALLSTOWN MD
21133-2441
US

V. Phone/Fax

Practice location:
  • Phone: 410-340-6097
  • Fax:
Mailing address:
  • Phone: 410-340-6097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: PILI MNZAVAS-WOOD
Title or Position: MANAGING MEMBER
Credential:
Phone: 410-340-6097