Provider Demographics
NPI:1528724697
Name:BRIGHTER DAYS TRANSPORTATION
Entity type:Organization
Organization Name:BRIGHTER DAYS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SQUIREWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-391-1687
Mailing Address - Street 1:1901 W MADISON ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85009-5287
Mailing Address - Country:US
Mailing Address - Phone:602-391-1687
Mailing Address - Fax:
Practice Address - Street 1:3810 E BALSAM DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-0209
Practice Address - Country:US
Practice Address - Phone:313-713-0337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)