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Life Bridges, Inc.

Life Bridges, Inc. is a health care provider in Cleveland, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 207 Kile Lake Road, Cleveland, TN 37323, US
Practice Location Phone423-478-7700
Practice Location Fax423-478-7772
Legal Business NameLIFE BRIDGES, INC.
Other Organization NameMCINTIRE HOUSE
Other Organization Name TypeAn Other Name
NPI ?1679877518
Entity TypeOrganization
Enumeration Date ? Jan 7, 2011
Last Update Date ? Mar 13, 2013
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Life Bridges, Inc.

SpecialtySpecializationLicenseLicense State
Intermediate Care Facility, Mentally Retarded

legacy-id-icon Legacy Provider IDs of Life Bridges, Inc.

Provider IdIssuer StateIssuer TypeIssuer
3722363TennesseeMedicaid

official-icon Authorized Official of Life Bridges, Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Life Bridges, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Lucas Queen
Authorized Official Title/PositionCEO
Authorized Official Phone Number423-472-5268