Healthcare Provider Details

I. General information

NPI: 1629289582
Provider Name (Legal Business Name): BRIDGES TO INDEPENDENCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 09/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 W WILLIAM ST
DELAWARE OH
43015-2338
US

IV. Provider business mailing address

61 W WILLIAM ST
DELAWARE OH
43015-2338
US

V. Phone/Fax

Practice location:
  • Phone: 740-362-1996
  • Fax: 740-362-1997
Mailing address:
  • Phone: 740-362-1996
  • Fax: 740-362-1997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number5100349
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number5100349
License Number StateOH

VIII. Authorized Official

Name: MS. CHRIS RITCHIE
Title or Position: PRESIDENT
Credential:
Phone: 740-362-1996