Organization
BRIGHTSIDE DAY HABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIZABETH DELL JOHNSON JACKSON (ADMINISTRATOR)
(225) 650-5936
Entity
Organization
Contact information
Practice address
557 E MAIN ST STE A, BRUSLY, LA 70719-2210
(225) 615-7492
(225) 615-7018
Mailing address
557 E MAIN ST STE A, BRUSLY, LA 70719-2210
(225) 615-7492
(225) 615-7018
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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