Provider Demographics
NPI:1992336986
Name:BRIGHT DAY HAB
Entity type:Organization
Organization Name:BRIGHT DAY HAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GESTETNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-730-2233
Mailing Address - Street 1:150 AIRPORT RD STE 1200
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-6924
Mailing Address - Country:US
Mailing Address - Phone:732-730-2233
Mailing Address - Fax:
Practice Address - Street 1:6 TERRI LN STE 400
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4909
Practice Address - Country:US
Practice Address - Phone:732-730-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services