Organization
BRIGHTER LIVING GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER NELSON MEDICAID PROVIDESR (ADMINISTRATIVE ASSISTANT)
(941) 979-0112
Entity
Organization
Contact information
Practice address
23067 PERU AVE, PORT CHARLOTTE, FL 33952-7122
(941) 979-0112
Mailing address
23067 PERU AVE, PORT CHARLOTTE, FL 33952-7122
(941) 979-0112
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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