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Contact Information

BRIDGETT R BRADLEY
1674 DELANO AVE UNIT 233
MEMPHIS, TN38127-8515
 Phone: 901-318-6967
 Fax: 901-347-1259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Nursing Care

251J00000X
 

Respite Care

385H00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1376040311
Entity Organization
Organization subpart 1 Not specified
Enumeration date 04/06/2018
Last updated 05/15/2024 - About 2 years ago
Identifiers
TN License # I000000022060
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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