Organization
LIFE BRIDGES, INC
Active
Other names
Wright House
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LYNN JACKSON (CEO)
(423) 303-1933
Entity
Organization
Contact information
Practice address
4755 FRONTAGE RD NW, CLEVELAND, TN 37312-2910
(423) 479-5909
(423) 479-1492
Mailing address
PO BOX 29, CLEVELAND, TN 37364-0029
(423) 472-5268
(423) 479-1492
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/23/2008
Last updated
04/26/2023
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