Organization
BRIDAVE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ADELUGBA (CEO/ADMIN)
(470) 350-0650
Entity
Organization
Contact information
Practice address
126 HIGHGROVE WAY, DALLAS, GA 30157-7404
(470) 350-0650
(470) 300-9776
Mailing address
126 HIGHGROVE WAY, DALLAS, GA 30157-7404
(470) 350-0650
(470) 300-9776
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
171WH0202X
Home Modifications Contractor
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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