# 3 BRIDGES RURAL HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205381423
- **Authorized official:** MRS. LISA KINAITIS RN (ADMINISTRATOR)
- **Authorized official phone:** (757) 719-3558

## Contact information

- **Practice address:** 6549 MAIN ST, SUITE 5, GLOUCESTER, VA 23061-6103
- **Practice address phone:** (804) 824-2319
- **Mailing address:** PO BOX 169, ARK, VA 23003-0169
- **Mailing address phone:** (804) 824-2319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HCO-171503 | VA | Yes |

## Other

- **Enumeration date:** 08/17/2016
- **Last updated:** 09/09/2016