Organization · NPI-2

Bridgecare

Case Management · Wilmington, NC

NPI number1801127220
StatusActive
Last updated in NPPESJan 25, 2010

Details

NPI
1801127220
Entity type
Organization (NPI-2)
Legal business name
Bridgecare
Organization subpart
No
Enumeration date
Jan 25, 2010
Last updated
Jan 25, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

1020 Rankin St Apt 412
Wilmington, NC 28401-3744

Phone 910-763-3644 · Fax 910-763-3634

Mailing address

1020 Rankin St Apt 412
Wilmington, NC 28401-3744

Phone 910-763-3644 · Fax 910-763-3634

Authorized official

John Kenion
Office Manager
9107633644

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