MEDICARE: BRIGHTER PATHS HOME HEALTH CARE AGENCY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1073275319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTER PATHS HOME HEALTH CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	1108 CASEY DR
Second Line	:
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-5683
Country	:	US
Telephone Number	:	215-300-9134
Fax Number	:

Provider Business Practice Location Address
First Line	:	5916 TORRESDALE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-4127
Country	:	US
Telephone Number	:	215-300-9134
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	WAYNE O'NEAL
Credential	:
Telephone Number	:	215-300-9134

Provider Enumeration Date	:	10/13/2021
Last Update Date	:	10/13/2021

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