Organization
BRIDGECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KENION (OFFICE MANAGER)
(910) 763-3644
Entity
Organization
Contact information
Practice address
1020 RANKIN ST APT 412, WILMINGTON, NC 28401-3744
(910) 763-3644
(910) 763-3634
Mailing address
1020 RANKIN ST APT 412, WILMINGTON, NC 28401-3744
(910) 763-3644
(910) 763-3634
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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