Provider Demographics
NPI:1427819945
Name:BRIGHT SPOT ON THE VALLEY, LLC
Entity type:Organization
Organization Name:BRIGHT SPOT ON THE VALLEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RANKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-367-5410
Mailing Address - Street 1:2914 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-2778
Mailing Address - Country:US
Mailing Address - Phone:251-367-5410
Mailing Address - Fax:
Practice Address - Street 1:2914 PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-2778
Practice Address - Country:US
Practice Address - Phone:251-367-5410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities