Organization
BRIDGING THE GAP RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY MAURICE SMITH SR. (OWNER)
(757) 762-3601
Entity
Organization
Contact information
Practice address
95 SAINT CROIX DR, NEWPORT NEWS, VA 23602-6242
(757) 762-3601
Mailing address
95 SAINT CROIX DR, NEWPORT NEWS, VA 23602-6242
(757) 762-3601
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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