Senior Bridge LLC
NPI #1104412295 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1104412295
- Entity Type
- Organization
- Organization Name
- Senior Bridge LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Dec 14, 2020
- Last Updated
- Dec 14, 2020
Practice Location
- Address
- 11204 W GREENFIELD AVE
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-2240
- Phone
- (414) 988-2228
Authorized Official
- Name
- MR. KENTOCC L COBURN
- Title
- OWNER
- Phone
- (414) 988-2228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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