# BRIGHTLIFE INTERNATIONAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BRT MEDICAL SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356553564
- **Authorized official:** MR. BRIGHT ENABULELE (PRESIDENT & CEO)
- **Authorized official phone:** (310) 973-7322

## Contact information

- **Practice address:** 11633 HAWTHORNE BLVD, SUITE 216, HAWTHORNE, CA 90250-2322
- **Practice address phone:** (310) 973-7322
- **Practice address fax:** (310) 973-4511
- **Mailing address:** 11633 HAWTHORNE BLVD, SUITE 216, HAWTHORNE, CA 90250-2322
- **Mailing address phone:** (310) 973-7322
- **Mailing address fax:** (310) 973-4511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 03/13/2008