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Organization
BRIDGE REHABILITATION CENTER LLC
Active
Organization
BRIDGE REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA SHAH BS BSN CCM (DIRECTOR)
(800) 787-8129
Entity
Organization
Contact information
Practice address
830 E 4TH ST STE 1, ROYAL OAK, MI 48067-2800
(800) 727-7859
(800) 787-7169
Mailing address
318 JOHN R RD # 302, TROY, MI 48083-4542
(800) 787-8129
(800) 787-7169
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
310400000X
Assisted Living Facility
—
NULL
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
04/22/2020
Last updated
01/09/2023
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