Organization
BRIDGE WISE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CAROLINE KAIGAI (MANAGER)
(781) 595-2359
Entity
Organization
Contact information
Practice address
116 ELLIOTT ST, DANVERS, MA 01923-3415
(781) 595-2359
Mailing address
116 ELLIOTT ST, DANVERS, MA 01923-3415
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TU7V
MASS DPH REGESTRATION
MA
Enumeration date
09/10/2018
Last updated
09/10/2018
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