Brightside Day Habilitation

NPI #1982003398 in Brusly, Louisiana

Provider Information

NPI Number: 1982003398
Entity Type: Organization
Organization Name: Brightside Day Habilitation
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Aug 21, 2014
Last Updated: Aug 21, 2014

Practice Location

Address: 557 E MAIN ST
Address 2: A
City: Brusly
State: Louisiana
ZIP Code: 70719-2210
Phone: (225) 615-7018

Authorized Official

Name: MRS. LIZABETH DELL JACKSON
Title: OWNER/MANAGER
Phone: (225) 615-7018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X	Primary

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