Organization
BRIDGING THE GAP HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHEBE SIMMONS (TREASURER)
(209) 815-8468
Entity
Organization
Contact information
Practice address
1020 10TH AVE W UNIT 91, PALMETTO, FL 34221-3796
(209) 815-8468
(888) 472-6577
Mailing address
1020 10TH AVE W UNIT 91, PALMETTO, FL 34221-3796
(209) 815-8468
(888) 472-6577
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P20000035604
SECRETARY OF STATE ARTICLES OF FORMATION
FL
Enumeration date
06/09/2020
Last updated
06/09/2020
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