Organization
BRIDGEBUILDER COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE HORNE (FOUNDER/CEO)
(407) 616-4318
Entity
Organization
Contact information
Practice address
4423 BEAGLE ST, ORLANDO, FL 32818-8254
(407) 616-4318
Mailing address
4423 BEAGLE ST, ORLANDO, FL 32818-8254
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802003528
CFAR'S CERTIFICATION
FL
Enumeration date
05/06/2008
Last updated
05/06/2008
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