Provider Demographics
NPI:1215551502
Name:BRIDGECARE SOLUTIONS ARE LLC
Entity Type:Organization
Organization Name:BRIDGECARE SOLUTIONS ARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBA AJOKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-788-8562
Mailing Address - Street 1:813 HARBOR BLVD # 294
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-2201
Mailing Address - Country:US
Mailing Address - Phone:530-788-8562
Mailing Address - Fax:
Practice Address - Street 1:612 WATERCOLOR LANE
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95605
Practice Address - Country:US
Practice Address - Phone:530-788-8562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-02
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1669611190OtherNPI