Organization
BRIDGE GROUP INTEGRATED HEALTH CARE SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALMA DELIA SALDANA-ESPITIA (BUSINESS MANAGER)
(480) 709-1431
Entity
Organization
Contact information
Practice address
1800 W BROADWAY RD STE 3, TEMPE, AZ 85282-1023
(480) 709-1431
Mailing address
1800 W BROADWAY RD STE 3, TEMPE, AZ 85282-1023
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
AHCCCS
AZ
Enumeration date
03/01/2018
Last updated
03/01/2018
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