Individual
KEICA BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOMECARE
Contact information
Practice address
881 KINGS GRANT DR NW, ATLANTA, GA 30318-6021
(404) 319-5773
(404) 975-3335
Mailing address
881 KINGS GRANT DR NW, ATLANTA, GA 30318-6021
(404) 319-5773
(404) 975-3335
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PHCP011748
GA
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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