Organization
BRIDGE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEEVON HARRIS (OLIVER)
(901) 672-3705
Entity
Organization
Contact information
Practice address
764 E SERVICE DR UNIT A, COLDWATER, MS 38618-3881
(901) 672-3705
Mailing address
764 E SERVICE DR UNIT A, COLDWATER, MS 38618-3881
(901) 672-3705
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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