Organization
BRIDGING THE GAP PREFERRED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONA GARRETT SIMMONS (OWNER)
(252) 793-2209
Entity
Organization
Contact information
Practice address
504 E 3RD ST, PLYMOUTH, NC 27962-1419
(252) 793-2209
(252) 793-2035
Mailing address
504 E 3RD ST, PLYMOUTH, NC 27962-1419
(252) 793-2209
(252) 793-2035
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418068
—
NC
05
—
8301683
—
NC
Enumeration date
02/07/2007
Last updated
08/26/2008
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