Provider Demographics
NPI:1083468573
Name:BRIDGES AFH INC
Entity Type:Organization
Organization Name:BRIDGES AFH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-260-3956
Mailing Address - Street 1:15505 NE 89TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-3594
Mailing Address - Country:US
Mailing Address - Phone:360-600-4059
Mailing Address - Fax:360-258-1931
Practice Address - Street 1:14119 NE 23RD AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-1619
Practice Address - Country:US
Practice Address - Phone:360-258-1103
Practice Address - Fax:360-258-1931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home