Bridgette Laverne Bivins
Case Manager/Care Coordinator in Willoughby, OH. Individual provider (NPI-1).
NPI number1144734609
StatusActive
Last updated in NPPESNov 20, 2017
Details
- NPI
- 1144734609
- Entity type
- Individual (NPI-1)
- Name
- Bridgette Laverne Bivins
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2017
- Last updated
- Nov 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
38882 Mentor AveWilloughby, OH 44094-7875
Phone 440-953-9999 · Fax 440-918-3839
Mailing address
38882 Mentor AveWilloughby, OH 44094-7875
Phone 440-953-9999 · Fax 440-918-3839
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