# NEW BRIDGE GROUPHOME

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

## Provider details

- **NPI number:** 1275277022
- **Authorized official:** YETUNDE ADEYEMI (ADMINISTRATOR)
- **Authorized official phone:** (803) 556-2176

## Contact information

- **Practice address:** 232 PENINSULA WAY, COLUMBIA, SC 29229-7395
- **Practice address phone:** (803) 556-2176
- **Practice address fax:** (803) 814-2493
- **Mailing address:** 232 PENINSULA WAY, COLUMBIA, SC 29229-7395
- **Mailing address phone:** (803) 556-2176
- **Mailing address fax:** (803) 814-2493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/26/2022
- **Last updated:** 04/26/2022