# BRIDGE OF CARE LLC

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

## Provider details

- **NPI number:** 1770257412
- **Authorized official:** YARITZA AGUIAR RODRIGUEZ CBHCMS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (305) 603-7063

## Contact information

- **Practice address:** 2311 10TH AVE N STE 3, LAKE WORTH, FL 33461-6605
- **Practice address phone:** (561) 899-3017
- **Practice address fax:** (561) 429-2622
- **Mailing address:** 11401 SW 40TH ST STE 345, MIAMI, FL 33165-3372
- **Mailing address phone:** (305) 603-7063
- **Mailing address fax:** (305) 603-8705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2021
- **Last updated:** 08/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 105068600 | — | FL |