Provider Demographics
NPI:1477060184
Name:BRIDGES ADULT DAY HEALTH CARE, LLC
Entity Type:Organization
Organization Name:BRIDGES ADULT DAY HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:VERNACCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-925-5158
Mailing Address - Street 1:41 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4508
Mailing Address - Country:US
Mailing Address - Phone:215-925-5158
Mailing Address - Fax:215-925-6055
Practice Address - Street 1:352 BEVERLY RANCOCAS RD
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-3439
Practice Address - Country:US
Practice Address - Phone:609-871-8881
Practice Address - Fax:609-871-2590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care