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Organization

LIFE BRIDGES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINGER DAVIS (CFO)
(423) 303-1914
Entity
Organization

Contact information

Practice address
764 OLD CHATTANOOGA PIKE SW, CLEVELAND, TN 37311-8566
(423) 472-5268
(423) 479-1492
Mailing address
PO BOX 29, CLEVELAND, TN 37364-0029
(142) 347-2526

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3722363
TN
Enumeration date
03/16/2022
Last updated
04/27/2023
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