Organization
BRIDGE SUPPORT COORDINATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PADEN KEVIN HINDS (OWNER)
(267) 815-4094
Entity
Organization
Contact information
Practice address
5739 N 17TH ST, PHILADELPHIA, PA 19141-1714
(267) 815-4094
Mailing address
5739 N 17TH ST, PHILADELPHIA, PA 19141-1714
(267) 815-4094
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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