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Organization

BRITE LITE HOUSE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY POURCH (PRESIDENT)
(954) 696-0218
Entity
Organization

Contact information

Practice address
3432 NW 86TH WAY, D201, SUNRISE, FL 33351-6602
(954) 696-0218
Mailing address
3432 NW 86TH WAY, D201, SUNRISE, FL 33351-6602
(954) 696-0218

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
52A1500008367
FL
251X00000X
Supports Brokerage Agency
52A1500008367
FL
347C00000X
Private Vehicle
Primary
52A1500008367
FL
347E00000X
Transportation Broker
52A1500008367
FL

Other

Enumeration date
09/16/2016
Last updated
09/16/2016
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