Organization
LIFEBRIDGE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON KIRIIBWA (MANAGER)
(857) 615-0337
Entity
Organization
Contact information
Practice address
111 HILL ST APT 11, STONEHAM, MA 02180-3734
(857) 615-0337
Mailing address
111 HILL ST APT 11, STONEHAM, MA 02180-3734
(857) 615-0337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311Z00000X
Custodial Care Facility
—
—
314000000X
Skilled Nursing Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/19/2024
Last updated
10/19/2024
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