Organization
BRIDGE OF LOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEERA DOREEN (OWNER, PRESIDENT)
(928) 224-3223
Entity
Organization
Contact information
Practice address
8929 W VERNON AVE, PHOENIX, AZ 85037-3628
(928) 224-3223
Mailing address
8929 W VERNON AVE, PHOENIX, AZ 85037-3628
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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