Organization
FAMILY BRIDGES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE SUSAN JAN RD (CHIEF EXECUTIVE OFFICER)
(510) 839-2270
Entity
Organization
Contact information
Practice address
1388 HARRISON STREET, OAKLAND, CA 94612
(510) 302-0460
(510) 302-0466
Mailing address
168 11TH STREET, OAKLAND, CA 94607
(510) 839-2022
(510) 839-2435
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADU70205F
ADHC
CA
Enumeration date
05/10/2007
Last updated
08/22/2020
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