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NPI Code Detail

MEDICARE: BRIDGES INC FOR ELDER CARE

MEDICARE: BRIDGES INC FOR ELDER CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management AgencyTN
2251X00000XSupports Brokerage AgencyTN
3251V00000XVoluntary or Charitable Agency

General Provider Information

NPI Number : 1366506594
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIDGES INC FOR ELDER CARE
Provider Business Mailing Address
First Line : POB 4924
Second Line :
City : CLEVELAND
State : TN
Zip : 37320
Country : US
Telephone Number : 866-353-3755
Fax Number : 423-339-8970
Provider Business Practice Location Address
First Line : 1819 FOREST RIDGE DRIVE
Second Line :
City : CLEVELAND
State : TN
Zip : 37311
Country : US
Telephone Number : 186-635-3375
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MS. SUSAN KOLYNO
Credential : HSS
Telephone Number : 423-339-8920
Provider Enumeration Date : 12/21/2006
Last Update Date : 09/11/2025

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Directions to “BRIDGES INC FOR ELDER CARE ” Practice Location

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