Organization
BRIDGE FOR INCLUSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS CHARLES DIDOMENICO (PRESIDENT)
(973) 865-6139
Entity
Organization
Contact information
Practice address
103 CUMBERLAND AVE, VERONA, NJ 07044-2107
(973) 865-6139
Mailing address
PO BOX 112, HILLSDALE, NJ 07642-0112
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
07/08/2024
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