Organization · NPI-2

Alpha Bridge Home Health, LLC

Home Health · Lakeland, FL

NPI number1336189166
StatusActive
Last updated in NPPESFeb 27, 2015

Details

NPI
1336189166
Entity type
Organization (NPI-2)
Legal business name
Alpha Bridge Home Health, LLC
Organization subpart
No
Enumeration date
Jun 8, 2006
Last updated
Feb 27, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health299992370FLYes

Other names

  • Golden Care Home Health Agency, LLC (Former Legal Business Name)

Practice location

1543 Lakeland Hills Blvd
Suite C
Lakeland, FL 33805-3246

Phone 863-937-8370 · Fax 863-937-8398

Mailing address

1543 Lakeland Hills Blvd
Suite C
Lakeland, FL 33805-3246

Phone 863-937-8370 · Fax 863-937-8398

Authorized official

Delbert Scott Wood
Manager
8133974101

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