Provider Demographics
NPI:1427114933
Name:BRIGHT HORIZONS OF GREENWOOD, INC.
Entity type:Organization
Organization Name:BRIGHT HORIZONS OF GREENWOOD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VALDEMIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:COELHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-658-2253
Mailing Address - Street 1:6797 NW 110TH WAY
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3837
Mailing Address - Country:US
Mailing Address - Phone:954-345-7270
Mailing Address - Fax:954-345-8124
Practice Address - Street 1:9565 NW 27TH ST
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4936
Practice Address - Country:US
Practice Address - Phone:954-340-3045
Practice Address - Fax:954-575-6128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL #8786310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility