| NPI | 1104412295 |
|---|---|
| Doing Business As | SENIOR BRIDGE CARE |
| Entity Type | Organization |
| Authorized Contact | KENTOCC L COBURN Owner 414-988-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |