Organization
A BRIDGE 2 WELLNESS LLC
Active
Other names
A Bridge 2 Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANEY WILSON (CEO/DIRECTOR OF OPERATIONS)
(980) 556-7154
Entity
Organization
Contact information
Practice address
4822 ALBEMARLE RD STE 101P, CHARLOTTE, NC 28205-6630
(980) 556-7154
(980) 330-4170
Mailing address
4822 ALBEMARLE RD STE 101P, CHARLOTTE, NC 28205-6630
(980) 556-7154
(980) 330-4170
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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