Organization
BRIDGE 2 PEACE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAVONNE DAVIS (HEAD ADMIN/OWNER)
(404) 429-6630
Entity
Organization
Contact information
Practice address
83 CORTESE LN, BRASELTON, GA 30517-2916
(404) 429-6630
Mailing address
83 CORTESE LN, BRASELTON, GA 30517-2916
(404) 429-6630
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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