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General NPI Number Information
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NPI Number | 1215356209
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Entity Type | Organization
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Legal Business Name | A BRIGHTER DAY CARE SERVICES
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 2 WOODLEA RIDGE CT
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City | GREENSBORO
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State | NC
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Zip | 27406-5253
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Country | US
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Telephone | 336-272-0604
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Fax |
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Provider Business Mailing Address
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Address Line | 2 WOODLEA RIDGE CT
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City | GREENSBORO
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State | NC
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Zip | 27406-5253
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Country | US
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Telephone | 336-272-0604
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. SHANNON HAIRSTON
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Credential |
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Telephone | 336-456-5022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | MHL-041-926
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License Number State | NC
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