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General NPI Number Information
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NPI Number | 1245151679
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Entity Type | Organization
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Legal Business Name | BRIGHT LIFE SENIOR CARE OF PA LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 1650 MARKET ST STE 3600
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City | PHILADELPHIA
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State | PA
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Zip | 19103-7334
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Country | US
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Telephone | 646-361-4468
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Fax | 732-889-7520
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Provider Business Mailing Address
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Address Line | 16 STOOTHOFF DR
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-3621
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Country | US
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Telephone | 646-361-4468
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Fax | 732-889-7520
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Authorized Official
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Title or Position | OWNER
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Name | SHU CHUN S SU
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Credential |
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Telephone | 646-361-4468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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