Provider Demographics
NPI:1609166438
Name:BRIDGES
Entity Type:Organization
Organization Name:BRIDGES
Other - Org Name:BRIDGES ADULT DAY SERVICES & RESOURCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.O/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHASITY
Authorized Official - Middle Name:BRITTANY
Authorized Official - Last Name:DRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:RMA
Authorized Official - Phone:269-252-6857
Mailing Address - Street 1:2420 KURT RD
Mailing Address - Street 2:
Mailing Address - City:BENTON HARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:49022
Mailing Address - Country:US
Mailing Address - Phone:269-252-6857
Mailing Address - Fax:
Practice Address - Street 1:2420 KURT RD
Practice Address - Street 2:
Practice Address - City:BENTON HARBOR
Practice Address - State:MI
Practice Address - Zip Code:49022-8013
Practice Address - Country:US
Practice Address - Phone:269-252-6857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based