Organization
BRIGHTLIFE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IBRAHIM SHEIKH (MEMBER)
(516) 776-1666
Entity
Organization
Contact information
Practice address
4715 COLUMBIA HILLS CT, ELLICOTT CITY, MD 21043-6409
(240) 938-1514
(866) 876-1666
Mailing address
4715 COLUMBIA HILLS CT, ELLICOTT CITY, MD 21043-6409
(240) 938-1514
(866) 876-1666
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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