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Organization
BRIGHT BEGINNINGS1
Active
Organization
BRIGHT BEGINNINGS1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRONDA HUDDLESTON (OWNER)
(260) 704-5466
Entity
Organization
Contact information
Practice address
3120 BROADWAY, FORT WAYNE, IN 46807-1509
(260) 704-5466
Mailing address
811 E PONTIAC ST, FORT WAYNE, IN 46803-3459
(260) 704-5466
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251J00000X
Nursing Care Agency
—
—
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
01/07/2025
Last updated
01/14/2025
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