Organization
BRIDGE TO INDEPENDENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEREMI MILLER MBA, BSN (MEMBER)
(913) 278-5373
Entity
Organization
Contact information
Practice address
6709 APPLETON AVE, RAYTOWN, MO 64133-6109
(913) 278-5373
Mailing address
6709 APPLETON AVE, RAYTOWN, MO 64133-6109
(913) 278-5373
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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