Organization
BRIGHTON RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMOS JACK (DIRECTOR)
(860) 305-6723
Entity
Organization
Contact information
Practice address
20 FOX CHASE RD, BLOOMFIELD, CT 06002-2152
(860) 890-3089
Mailing address
20 FOX CHASE RD, BLOOMFIELD, CT 06002-2152
(860) 890-3089
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/07/2025
Last updated
09/13/2025
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