Organization
BRIDGEWAY HHA METRO, LLC
Active
Other names
BridgeWay Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
GARY RASMUSSEN (PRESIDENT)
(678) 932-6302
Entity
Organization
Contact information
Practice address
2351 HENRY CLOWER BLVD STE A, SNELLVILLE, GA 30078-7421
(770) 674-1036
(770) 710-0917
Mailing address
1395 SOUTH MARIETTA PKWY SE, BLDG 400 SUITE 102, MARIETTA, GA 30067-7852
(678) 932-6302
(678) 402-5246
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
044-304-H
GA
Other
Enumeration date
04/02/2018
Last updated
12/09/2019
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