Organization
BRIDGE OF LIGHT HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LEE BOSCHULTE N.P. (EXCEUTIVE DIRECTOR)
(614) 751-3730
Entity
Organization
Contact information
Practice address
2234 S HAMILTON RD, 101, COLUMBUS, OH 43232-4389
(614) 751-3730
(614) 751-4481
Mailing address
2234 S HAMILTON RD, 101, COLUMBUS, OH 43232-4389
(614) 751-3730
(614) 751-4481
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2535395
—
OH
Enumeration date
08/29/2006
Last updated
07/21/2022
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