Organization · NPI-2
A Bridge 2 Wellness LLC
Home Health · Charlotte, NC
NPI number1184378747
StatusActive
Last updated in NPPESFeb 11, 2022
Details
- NPI
- 1184378747
- Entity type
- Organization (NPI-2)
- Legal business name
- A Bridge 2 Wellness LLC
- Organization subpart
- No
- Enumeration date
- Feb 11, 2022
- Certification date
- Feb 11, 2022
- Last updated
- Feb 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Other names
- A Bridge 2 Wellness (Doing Business As)
Practice location
4822 Albemarle Rd Ste 101pCharlotte, NC 28205-6630
Phone 980-556-7154 · Fax 980-330-4170
Mailing address
4822 Albemarle Rd Ste 101pCharlotte, NC 28205-6630
Phone 980-556-7154 · Fax 980-330-4170
Authorized official
Tiffaney Wilson
Ceo/Director Of Operations
9805567154
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