Organization
BRIGHT EXPECTATIONS INC.
Active
Other names
Lakeside Division
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY CHARLES COX III (PRESIDENT / ADMINISTRATOR)
(951) 727-4303
Entity
Organization
Contact information
Practice address
7910 LAKESIDE DR, RIVERSIDE, CA 92509-7033
(951) 727-4303
(951) 727-4304
Mailing address
8175 LIMONITE AVE, SUITE C, RIVERSIDE, CA 92509-6120
(951) 727-4303
(951) 727-4304
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC60716F
MEDI-CAL
CA
Enumeration date
04/30/2008
Last updated
04/30/2008
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