| Bridge 2 Home Llc | |
|
7231 Forestwood Dr Independence OH 44131-5261 | |
| (216) 647-2676 | |
| Not Available |
| Full Name | Bridge 2 Home Llc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 7231 Forestwood Dr, Independence, Ohio |
| Authorized Official Name and Position | Rayshawn T Eberhardt (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2166472676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge 2 Home Llc 5229 W 33rd St Parma OH 44134-1217 Ph: (216) 647-2676 | Bridge 2 Home Llc 7231 Forestwood Dr Independence OH 44131-5261 Ph: (216) 647-2676 |
| NPI Number | 1508690744 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508690744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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