Organization
BRIDGE OF HOPE COUNSELING PCA
Active
Parent organization
NV201511133773
Organization subpart
Yes
Provider details
NPI number
Legal business name
NV201511133773
Authorized official
ANITRA EGNOR (PROGRAM DIRECTOR)
(702) 464-5080
Entity
Organization
Contact information
Practice address
5258 S EASTERN AVE STE 105, LAS VEGAS, NV 89119-2327
(702) 464-5080
(702) 262-1399
Mailing address
5258 S EASTERN AVE STE 105, LAS VEGAS, NV 89119-2327
(702) 464-5080
(702) 262-1399
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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