Organization
BRIGHTLIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ONYEJIAKA (OWNER)
(615) 500-5649
Entity
Organization
Contact information
Practice address
1990 LOUISVILLE RD STE 107, BOWLING GREEN, KY 42101-1202
(615) 500-5649
Mailing address
1990 LOUISVILLE RD STE 107, BOWLING GREEN, KY 42101-1202
(615) 500-5649
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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