Individual
LINDA DISIRE BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2213 PARKVIEW PL, SOUTH BEND, IN 46616-2149
(574) 904-8406
Mailing address
2213 PARKVIEW PL, SOUTH BEND, IN 46616-2149
(574) 904-8406
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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