Organization
BRIDGEWELL HOMECARE SERVICES LLC
Active
Other names
Bridgewell Homecare services, Bridgewell non-medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MWANIKI KIMANI NURSE (ADMINISTRATOR)
(781) 420-6161
Entity
Organization
Contact information
Practice address
2816 JAMONT CT NE, MARIETTA, GA 30068-2264
(781) 420-6161
Mailing address
2816 JAMONT CT NE, MARIETTA, GA 30068-2264
(781) 420-6161
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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