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Organization

BRIDGE HOSPICE, LLC

Active
Other names
Bridge Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF MONGONIA (CEO)
(858) 251-4242
Entity
Organization

Contact information

Practice address
5090 SHOREHAM PL STE 209, SAN DIEGO, CA 92122-5935
(582) 775-2008
Mailing address
3636 NOBEL DR STE 450, SAN DIEGO, CA 92122-1062
(858) 251-4242
(858) 408-3210

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4635898332
HOSPICE
CA
05
75-1568
CA
Enumeration date
10/24/2013
Last updated
05/24/2023
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