Provider Demographics
NPI:1528293206
Name:SUN BRIGHT HOME HEALTH AGENCY, INC.
Entity type:Organization
Organization Name:SUN BRIGHT HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILDELIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-862-3677
Mailing Address - Street 1:12555 ORANGE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4304
Mailing Address - Country:US
Mailing Address - Phone:954-862-3677
Mailing Address - Fax:954-862-3688
Practice Address - Street 1:12555 ORANGE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33330-4304
Practice Address - Country:US
Practice Address - Phone:954-862-3677
Practice Address - Fax:954-862-3688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-25
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health