Organization
BRIGHTON BRIDGE HOSPICE LLC
Active
Organization
BRIGHTON BRIDGE HOSPICE LLC
Active
Other names
BRIGHTON BRIDGE
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL A BROUSSARD (MANAGING MEMBER)
(337) 439-6600
Entity
Organization
Contact information
Practice address
213 NORTH FIRST ST, B, OBERLIN, LA 70655
(337) 639-9200
(337) 639-4030
Mailing address
PO BOX 279, OBERLIN, LA 70655-0279
(337) 639-9200
(337) 639-3032
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1583286
—
LA
Enumeration date
07/01/2006
Last updated
02/17/2010
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