MEDICARE: BRIGHT FUTURES ENRICHMENT CENTER 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	261QD1600X	Developmental Disabilities Clinic/Center
2	385H00000X	Respite Care

General Provider Information

NPI Number	:	1285444661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT FUTURES ENRICHMENT CENTER LLC

Provider Business Mailing Address
First Line	:	4220 COLONY RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-3143
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	814 E 185TH ST STE 100
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-2775
Country	:	US
Telephone Number	:	216-280-4327
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTOPHER WOOD JR
Credential	:
Telephone Number	:	216-280-4327

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	01/08/2025

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