Organization
BRIDGE OF CARE GROUP HOME LLC
Active
Other names
Bridge of Care Homes and Maintenance
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEE HAIRSTON (OWNER)
(937) 305-6637
Entity
Organization
Contact information
Practice address
1312 STUBEN DR, DAYTON, OH 45417-8252
(937) 305-6637
Mailing address
5108 MALIBU CT, TROTWOOD, OH 45426-2353
(937) 305-6637
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639862626
—
OH
Enumeration date
09/18/2023
Last updated
09/18/2023
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