Provider Demographics
NPI:1508115411
Name:IRONBRIDGE DEVELOPMENT LLC
Entity Type:Organization
Organization Name:IRONBRIDGE DEVELOPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:IRONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-231-2210
Mailing Address - Street 1:29533 MULLANE DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2056
Mailing Address - Country:US
Mailing Address - Phone:248-231-2210
Mailing Address - Fax:
Practice Address - Street 1:29533 MULLANE DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2056
Practice Address - Country:US
Practice Address - Phone:248-231-2210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management