Organization
BRIDGING MOUNTAINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY L DAYTON (MANAGER)
(352) 637-9001
Entity
Organization
Contact information
Practice address
2615 N FLORIDA AVE, HERNANDO, FL 34442-4330
(352) 637-9001
(352) 637-3003
Mailing address
2615 N FLORIDA AVE, HERNANDO, FL 34442-4330
(352) 637-9001
(352) 637-3003
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003543000
—
FL
Enumeration date
05/18/2016
Last updated
05/18/2016
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