Organization
BRIGHTCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NYOME BRIGHT KAMARA (CEO)
(703) 330-5836
Entity
Organization
Contact information
Practice address
7845 ASHTON AVE, MANASSAS, VA 20109-2883
(703) 330-5836
(703) 563-9663
Mailing address
8091 LACY DR APT 202, MANASSAS, VA 20109-7467
(703) 330-5836
(703) 563-9663
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1103739
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230260787
—
VA
Enumeration date
01/27/2017
Last updated
01/27/2017
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