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Organization
SENIOR BRIDGE CARE LLC
Active
Organization
SENIOR BRIDGE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EUNICE M PETERKIN (ADMINISTRATOR/OWNER)
(561) 667-3335
Entity
Organization
Contact information
Practice address
1860 SW FOUNTAINVIEW BLVD, PORT SAINT LUCIE, FL 34986-4528
(561) 667-3335
Mailing address
1860 SW FOUNTAINVIEW BLVD STE 43, PORT SAINT LUCIE, FL 34986-4528
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03312022
NA
FL
Enumeration date
05/03/2022
Last updated
05/03/2022
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