Healthcare Provider Details

I. General information

NPI: 1336887454
Provider Name (Legal Business Name): BRIDGING HOPE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2022
Last Update Date: 05/27/2022
Certification Date: 05/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 E LEXINGTON ST STE 600
BALTIMORE MD
21202-3529
US

IV. Provider business mailing address

PO BOX 1466
TEMPLE HILLS MD
20757-1466
US

V. Phone/Fax

Practice location:
  • Phone: 443-449-6018
  • Fax:
Mailing address:
  • Phone: 443-805-8927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. AMBER BOLYARD
Title or Position: OPERATIONS MANAGER
Credential: RPS
Phone: 443-449-6018