Healthcare Provider Details
I. General information
NPI: 1902396518
Provider Name (Legal Business Name): BRIGHT ADULT MEDICAL DAY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2018
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
352 BEVERLY RANCOCAS RD
WILLINGBORO NJ
08046-3439
US
IV. Provider business mailing address
150 AIRPORT RD STE 1200
LAKEWOOD NJ
08701-6924
US
V. Phone/Fax
- Phone: 609-871-8881
- Fax:
- Phone: 732-730-2233
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
A
GESTETNER
Title or Position: CEO
Credential:
Phone: 732-730-2233