Bridge 2 Peace Home Care LLC
Organization Active NPI In Home Supportive Care Agency · Braselton, GA
NPI 1043049414 · NPPES record last updated Aug 1, 2024
Key facts
- NPI
- 1043049414
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- BRIDGE 2 PEACE HOME CARE LLC
- Practice address
- 83 Cortese LN
Braselton, GA 30517-2916 - Phone
- (404) 429-6630
- NPI assigned
- Aug 1, 2024
- Organization subpart
- No
Authorized official
- Name
- Ms. Lavonne Davis
- Title
- Head Admin/Owner
- Phone
- (404) 429-6630
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
83 Cortese LN
Braselton, GA 30517-2916
Mailing address
83 Cortese LN
Braselton, GA 30517-2916
Phone (404) 429-6630
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- Sara Beth Brisbois
- Katrina Elizabeth Brown
- Meredith Brown
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All providers in Braselton, GA · In Home Supportive Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.