Provider Demographics
NPI:1669116901
Name:A BRIGHTER DAY HOME CARE AGENCY,LLC
Entity type:Organization
Organization Name:A BRIGHTER DAY HOME CARE AGENCY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-399-8044
Mailing Address - Street 1:1005 SHALLOWFORD DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-7654
Mailing Address - Country:US
Mailing Address - Phone:910-547-1148
Mailing Address - Fax:
Practice Address - Street 1:1005 SHALLOWFORD DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-7654
Practice Address - Country:US
Practice Address - Phone:910-547-1148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A BRIGHTER DAY HOME CARE AGENCY,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care