Provider Demographics
NPI:1922874601
Name:WELLBRIDGE HOME HEALTHCARE SOLUTIONS
Entity Type:Organization
Organization Name:WELLBRIDGE HOME HEALTHCARE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARQUEENA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-799-1139
Mailing Address - Street 1:1116 GRACEWIND CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4604
Mailing Address - Country:US
Mailing Address - Phone:513-799-1139
Mailing Address - Fax:
Practice Address - Street 1:1116 GRACEWIND CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4604
Practice Address - Country:US
Practice Address - Phone:513-799-1139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services