Organization
A BRIGHT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN TETANG MAMBO (PROGRAM MANAGER)
(513) 328-5034
Entity
Organization
Contact information
Practice address
20326 BANDERA LAKE LN, RICHMOND, TX 77407-1505
(513) 328-5034
Mailing address
20326 BANDERA LAKE LN, RICHMOND, TX 77407-1505
(513) 328-5034
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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