NPI 1801231352
Brightlife INC
Practice location
- Address
- 4715 Columbia Hills CT, Ellicott City, MD 21043-6409
- Phone
- (240) 938-1514
- Fax
- (866) 876-1666
Authorised official
- Name
- Ibrahim Sheikh
- Title
- Member
- Phone
- (516) 776-1666
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Physical Disabilities Residential Treatment Facility
Registry record
- NPI
- 1801231352
- Entity type
- Organization
- NPI issued
- 9 May 2013
- Record last updated
- 9 May 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.