Provider Demographics
NPI:1871220889
Name:BRIGHTER DAWN LLC
Entity type:Organization
Organization Name:BRIGHTER DAWN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUSEGUN
Authorized Official - Middle Name:
Authorized Official - Last Name:OJEWOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-760-6090
Mailing Address - Street 1:7845 OLD GATE RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-6704
Mailing Address - Country:US
Mailing Address - Phone:254-760-6090
Mailing Address - Fax:
Practice Address - Street 1:7845 OLD GATE RD
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-6704
Practice Address - Country:US
Practice Address - Phone:254-760-6090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty