MEDICARE: A BRIGHTER COMMUNITY

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1679641898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BRIGHTER COMMUNITY

Provider Business Mailing Address
First Line	:	1613 N MARION ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-2638
Country	:	US
Telephone Number	:	813-223-6830
Fax Number	:	813-223-2522

Provider Business Practice Location Address
First Line	:	1613 N MARION ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-2638
Country	:	US
Telephone Number	:	813-223-6830
Fax Number	:	813-223-2522

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MARY HALL
Credential	:
Telephone Number	:	813-223-6830

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	08/22/2020

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Directions to “A BRIGHTER COMMUNITY ” Practice Location

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