Organization
BRIGHT HORIZON COMMUNITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRIUS RAPHAEL (PRESIDENT/DIRECTOR/OWNER)
(305) 525-9195
Entity
Organization
Contact information
Practice address
20720 NW 1ST CT, MIAMI GARDENS, FL 33169-2248
(305) 525-9195
Mailing address
1150 NW 184TH DR, MIAMI GARDENS, FL 33169-4272
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003015000
—
FL
Enumeration date
01/26/2023
Last updated
03/27/2023
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