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Organization

BRIDGE GROUP RESIDENTIAL AND COMMUNITY BASED SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCUS MURRY DICKSON (CEO/OWNER)
(480) 370-9517
Entity
Organization

Contact information

Practice address
2859 E VOLTAIRE AVE, PHOENIX, AZ 85032-6017
(480) 370-9517
Mailing address
1237 S VAL VISTA DR, MESA, AZ 85204-6401
(480) 459-9577

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
06/15/2022
Last updated
06/15/2022
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