Healthcare Provider Details

I. General information

NPI: 1285789412
Provider Name (Legal Business Name): BRIDGES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 TONI LYNN TER
MIDDLETOWN RI
02842-5917
US

IV. Provider business mailing address

7 CLINTON AVE
JAMESTOWN RI
02835-1203
US

V. Phone/Fax

Practice location:
  • Phone: 401-423-1153
  • Fax: 401-423-3879
Mailing address:
  • Phone: 401-423-1153
  • Fax: 401-423-3879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number114
License Number StateRI

VIII. Authorized Official

Name: SHEILA MCDONNELL
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 401-423-1153