Organization
GRAND BRIDGE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKERLINE DOR (CEO)
(617) 729-6827
Entity
Organization
Contact information
Practice address
500 CUMMINGS CTR STE 6500, BEVERLY, MA 01915-6234
(617) 729-6827
(617) 741-3687
Mailing address
500 CUMMINGS CTR STE 6500, BEVERLY, MA 01915-6234
(617) 729-6827
(617) 801-8018
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
07/16/2026
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