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Organization
BRIGHT GAL INVESTMENTS LLC
Active
Organization
BRIGHT GAL INVESTMENTS LLC
Active
Other names
Bright Way Med
Organization subpart
No
Provider details
NPI number
Authorized official
TIANA RAZAA (OWNER)
(262) 748-8644
Entity
Organization
Contact information
Practice address
625 55TH ST, KENOSHA, WI 53140-3731
(262) 748-8644
Mailing address
6412 94TH CT, KENOSHA, WI 53142-8240
(262) 748-8644
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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