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Organization

BRIDGE 4 HEALTH SERVICES, LLC

Active
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Organization

BRIDGE 4 HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ARLY BRUTUS (DIRECTOR)
(678) 223-8138
Entity
Organization

Contact information

Practice address
1379 CAMELIA ST, RIVERDALE, GA 30296-1190
(678) 223-8138
Mailing address
PO BOX 142614, FAYETTEVILLE, GA 30214-6518
(678) 223-8138

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031-R-1605
HEALTHCARE LICENSE NUMBER
GA
Enumeration date
01/24/2020
Last updated
01/24/2020
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