Organization
BRIDGING THE GAP FAMILY CARE HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARENA DAVENPORT (OFFICE MANAGER)
(828) 389-8350
Entity
Organization
Contact information
Practice address
56 W VINEYARD LN, HAYESVILLE, NC 28904-5603
(828) 389-8350
(828) 389-9064
Mailing address
56 W VINEYARD LN, HAYESVILLE, NC 28904-5603
(828) 389-8350
(828) 389-9064
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL022002
NC
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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