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Organization
BRIDGE OF LIGHT HEALTH SERVICES LLC
Active
Organization
BRIDGE OF LIGHT HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LEE BOSCHULTE N.P. (EXCEUTIVE DIRECTOR)
(614) 751-3730
Entity
Organization
Contact information
Practice address
2234 S HAMILTON RD, 101, COLUMBUS, OH 43232-4389
(614) 751-3730
(614) 751-4481
Mailing address
2234 S HAMILTON RD, 101, COLUMBUS, OH 43232-4389
(614) 751-3730
(614) 751-4481
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2535395
—
OH
Enumeration date
08/29/2006
Last updated
07/21/2022
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