Organization
BUILDING BRIDGES FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESTINE DAVIS (CHIEF EXECUTIVE OFFICER)
(910) 747-3130
Entity
Organization
Contact information
Practice address
7850 TURNPIKE RD, RAEFORD, NC 28376-7380
(910) 747-3130
Mailing address
7850 TURNPIKE RD, RAEFORD, NC 28376-7380
(910) 747-3130
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
332S00000X
Hearing Aid Equipment
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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