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Organization
FOSTERBRIDGE, LLC
Active
Organization
FOSTERBRIDGE, LLC
Active
Other names
FosterBridge, Inc., Amivie
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DUARTE (CFO)
(336) 553-5912
Entity
Organization
Contact information
Practice address
700 MAIN STREET, BRIDGEPORT, OH 43912-1314
(740) 609-3893
(740) 609-3897
Mailing address
4000 PARAMOUNT PKWY, SUITE 100, MORRISVILLE, NC 27560-4702
(919) 390-2980
(919) 390-1888
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
972743
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0274HHN
OHIO DEPARTMENT OF HEALTH- NON MEDICAL HOME HEALTH LICENSE
OH
05
—
2008106
—
OH
Enumeration date
04/26/2007
Last updated
08/25/2026
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