Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
Hospice, Inpatient |
315D00000X |
| NPI # | 1104221209 |
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| LBN Legal business name | BRIDGE HOSPICE LLC | ||||
| Authorized official | AARON MUSSELMAN - (OWNER/PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/31/2014 | ||||
| Last updated | 09/20/2022 - About 4 years ago | ||||
| Identifiers |
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