Organization · NPI-2

Bridging The Gap Residential Services LLC

In Home Supportive Care · Newport News, VA

NPI number1952159014
StatusActive
Last updated in NPPESMay 13, 2024

Details

NPI
1952159014
Entity type
Organization (NPI-2)
Legal business name
Bridging The Gap Residential Services LLC
Organization subpart
No
Enumeration date
May 13, 2024
Certification date
May 13, 2024
Last updated
May 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

95 Saint Croix Dr
Newport News, VA 23602-6242

Phone 757-762-3601

Mailing address

95 Saint Croix Dr
Newport News, VA 23602-6242

Phone 757-762-3601

Authorized official

Corey Maurice Smith
Owner
7577623601

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