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
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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