Organization
BRIDGEWAY HOME HEALTHCARE SER
Active
Other names
Brenda Harris
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LEE HARRIS (OWNER)
(612) 521-9066
Entity
Organization
Contact information
Practice address
2225 ILION AVE N, MINNEAPOLIS, MN 55411-1921
(612) 521-9066
Mailing address
2225 ILION AVE N, MINNEAPOLIS, MN 55411-1921
(612) 521-9066
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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