Organization
BRIGHTER HEIGHTS ARIZONA, LLC -FOSTER CARE
Active
Parent organization
BRIGHTER HEIGHTS ARIZONA, LLC
Other names
SequelCare of Arizona, LLC-Foster Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHTER HEIGHTS ARIZONA, LLC
Authorized official
MS. BROOKE WILSON (SENIOR CREDENTIALING SPECIALIST)
(928) 910-7644
Entity
Organization
Contact information
Practice address
8603 E. EASTRIDGE DRIVE, STE. A, PRESCOTT VALLEY, AZ 86314
(928) 777-3280
(928) 778-1252
Mailing address
2517 N GREAT WESTERN DR., SUITE P, PRESCOTT VALLEY, AZ 86314-2597
(928) 777-3280
(928) 227-8493
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
A7
AZ
Other
Enumeration date
04/06/2007
Last updated
07/21/2022
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