Organization
BRIDGING THE GAP OF BR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUCILLE H GILLIAM (DIRECTOR)
(225) 926-6978
Entity
Organization
Contact information
Practice address
1821 WOODDALE COURT, BATON ROUGE, LA 70806-1535
(225) 926-6978
(225) 926-6694
Mailing address
1821 WOODDALE COURT, BATON ROUGE, LA 70806-1535
(225) 926-6978
(225) 926-6694
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
1175421
LA
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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