Bridging Lives LLC
NPI #1528457918 in Rancho Belago, California
Provider Information
- NPI Number
- 1528457918
- Entity Type
- Organization
- Organization Name
- Bridging Lives LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 22, 2015
- Last Updated
- Jan 22, 2015
Practice Location
- Address
- 12416 PRAIRIE WIND TRL
- City
- Rancho Belago
- State
- California
- ZIP Code
- 92555-5405
- Phone
- (909) 841-3513
Authorized Official
- Name
- MRS. BETTY ANN STEVENS, NURSE PRACTITIONER
- Title
- LICENSEE
- Phone
- (909) 841-3513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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