Linda Disire Bradshaw
Home Health in South Bend, IN. Individual provider (NPI-1).
NPI number1477333003
StatusActive
Last updated in NPPESOct 2, 2023
Details
- NPI
- 1477333003
- Entity type
- Individual (NPI-1)
- Name
- Linda Disire Bradshaw
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 2, 2023
- Certification date
- Oct 2, 2023
- Last updated
- Oct 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
2213 Parkview PlSouth Bend, IN 46616-2149
Phone 574-904-8406
Mailing address
2213 Parkview PlSouth Bend, IN 46616-2149
Phone 574-904-8406
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All 33 Home Health Agency providers in South Bend · All 3,973 providers in South Bend
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