Provider Demographics
NPI:1477385821
Name:A BRIGHTER DAY ADULT DAY CENTER
Entity type:Organization
Organization Name:A BRIGHTER DAY ADULT DAY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-456-3439
Mailing Address - Street 1:9635 LEWIS AND CLARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-5236
Mailing Address - Country:US
Mailing Address - Phone:314-222-3336
Mailing Address - Fax:314-222-3345
Practice Address - Street 1:9635 LEWIS AND CLARK BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-5236
Practice Address - Country:US
Practice Address - Phone:314-222-3336
Practice Address - Fax:314-222-3345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care