Organization
BRIDGE GROUP RESIDENTIAL AND COMMUNITY BASED SERVICES
Active
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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