Provider Demographics
NPI:1225475163
Name:BRADLEY & JESTER LLC
Entity Type:Organization
Organization Name:BRADLEY & JESTER LLC
Other - Org Name:THE SOUND OF TRIUMPH HOME CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIDGETT
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-729-9341
Mailing Address - Street 1:20965 LAHSER RD APT 615
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-4441
Mailing Address - Country:US
Mailing Address - Phone:313-729-9341
Mailing Address - Fax:
Practice Address - Street 1:20965 LAHSER RD APT 615
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-4441
Practice Address - Country:US
Practice Address - Phone:313-729-9341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-02
Last Update Date:2013-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health