| Brightway Adult Daycare Center Llc | |
|
12808 Veterans Memorial Dr Houston TX 77014-2004 | |
| (832) 602-5114 | |
| (281) 661-8186 |
| Full Name | Brightway Adult Daycare Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12808 Veterans Memorial Dr, Houston, Texas |
| Authorized Official Name and Position | Chinenye Ugbala (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8326025114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightway Adult Daycare Center Llc 12808 Veterans Memorial Dr Houston TX 77014-2004 Ph: (832) 602-5114 | Brightway Adult Daycare Center Llc 12808 Veterans Memorial Dr Houston TX 77014-2004 Ph: (832) 602-5114 |
| NPI Number | 1093146789 |
|---|---|
| Provider Enumeration Date | 12/05/2013 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Medicare PECOS PAC ID | 4688943236 |
|---|---|
| Medicare Enrollment ID | O20170713000866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093146789 | NPI | - | NPPES |
| Provider Name | Rebekah Fontenot |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457796617 PECOS PAC ID: 7719265453 Enrollment ID: I20170104001988 |
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