# BRIDGING GAPS HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridging Gaps Home Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003565805
- **Authorized official:** DEMETRIUS LOCKHART N/A (OWNER/OPERATOR)
- **Authorized official phone:** (313) 265-6957

## Contact information

- **Practice address:** 2222 W GRAND RIVER AVE STE A, OKEMOS, MI 48864-1604
- **Practice address phone:** (313) 265-6957
- **Mailing address:** 15712 PREST ST, DETROIT, MI 48227-2325
- **Mailing address phone:** (313) 265-6957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2022
- **Last updated:** 03/21/2022