Organization
3 BRIDGES RURAL HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA KINAITIS RN (ADMINISTRATOR)
(757) 719-3558
Entity
Organization
Contact information
Practice address
6549 MAIN ST, SUITE 5, GLOUCESTER, VA 23061-6103
(804) 824-2319
Mailing address
PO BOX 169, ARK, VA 23003-0169
(804) 824-2319
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-171503
VA
Other
Enumeration date
08/17/2016
Last updated
09/09/2016
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