Healthcare Provider Details

I. General information

NPI: 1164382032
Provider Name (Legal Business Name): BRIDGE OF SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2705 MAYFAIR CIR
AKRON OH
44312-5402
US

IV. Provider business mailing address

3465 S ARLINGTON RD STE E
AKRON OH
44312-5272
US

V. Phone/Fax

Practice location:
  • Phone: 330-957-4503
  • Fax:
Mailing address:
  • Phone: 330-957-4503
  • 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: MRS. RITA L ANDRUS
Title or Position: CEO
Credential:
Phone: 330-957-4503