MEDICARE: A BRIGHTER TOMORROW, 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1710237664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BRIGHTER TOMORROW, LLC

Provider Business Mailing Address
First Line	:	1192 CRAIG AVE
Second Line	:
City	:	LANCASTER
State	:	SC
Zip	:	29720-8227
Country	:	US
Telephone Number	:	803-370-5721
Fax Number	:	888-814-9656

Provider Business Practice Location Address
First Line	:	16401 STATE HIGHWAY 200
Second Line	:	SUITE B
City	:	GREAT FALLS
State	:	SC
Zip	:	29055-9671
Country	:	US
Telephone Number	:	803-370-5721
Fax Number	:	888-814-9656

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. JOE WRIGHT JR.
Credential	:
Telephone Number	:	803-370-5721

Provider Enumeration Date	:	09/18/2012
Last Update Date	:	09/18/2012

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