Organization
BRIDGE OF HOPE, INC
Active
Other names
Bridge Of Hope Adult Day Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLYE J VANCE (PRESIDENT/CEO)
(317) 430-3144
Entity
Organization
Contact information
Practice address
2511 E 46TH ST, SUITE E - 1, INDIANAPOLIS, IN 46205-2460
(317) 430-3144
Mailing address
PO BOX 26036, INDIANAPOLIS, IN 46226-0036
(317) 430-3144
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200962360A
LPI
IN
Enumeration date
02/01/2010
Last updated
02/01/2010
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