Organization
NEW BRIDGE GROUPHOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YETUNDE ADEYEMI (ADMINISTRATOR)
(803) 556-2176
Entity
Organization
Contact information
Practice address
232 PENINSULA WAY, COLUMBIA, SC 29229-7395
(803) 556-2176
(803) 814-2493
Mailing address
232 PENINSULA WAY, COLUMBIA, SC 29229-7395
(803) 556-2176
(803) 814-2493
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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