Phoenix Bridge Group Home in Burlington - Day Training, Developmentally Disabled Services

Phoenix Bridge Group Home - NPI 1588822209

Phoenix Bridge Group Home is a Day Training, Developmentally Disabled Services in Burlington, North Carolina. Phoenix Bridge Group Home practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Phoenix Bridge Group Home is 1588822209. The last update date is 2008-05-29.

Phoenix Bridge Group Home's current location address is 909 A South Main Street, Burlington, North Carolina. You can contact this provider via phone number 3362228522. The mailing address for Phoenix Bridge Group Home is 909 A South Main Street, Burlington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Phoenix Bridge Group Home
Address 909 A South Main Street, Burlington, North Carolina
Phone Number 3362228522
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROGRAM DI
Authorized Official Name Jones Wendy
Telephone Number 3362228522

NPI Number Detail

NPI Number 1588822209
Provider Enumeration Date 2008-05-29
Last Updated Date 2008-05-29

Provider Mailing Address Detail

Address 909 A South Main Street
City Burlington
State North Carolina (NC)
Post Code 272150169
Phone Number 3362228522
Fax Number

Provider's Primary Taxonomy Detail

Speciality Day Training, Developmentally Disabled Services
Taxonomy 251C00000X
Definition:
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8302247 NC --

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FAQs about Phoenix Bridge Group Home

What is the unique 10-digit identifier code assigned to Phoenix Bridge Group Home by the Centers for Medicare & Medicaid Services?

The Phoenix Bridge Group Home has been issued the NPI (National Provider Identifier) 1588822209 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Phoenix Bridge Group Home is physically located?

The Phoenix Bridge Group Home is situated at the following address: 909 A South Main Street, Burlington, NC 272150169.

What is the area of specialization for Phoenix Bridge Group Home, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Phoenix Bridge Group Home is Day Training, Developmentally Disabled Services, and the corresponding taxonomy code that categorizes this area of expertise is 251C00000X.

When was the Phoenix Bridge Group Home's 1588822209 issued?

The Phoenix Bridge Group Home's 1588822209 was issued on 2008-05-29.

When was the information regarding Phoenix Bridge Group Home most recently updated?

The details pertaining to the Phoenix Bridge Group Home, including its address, specialty, and other relevant information, were last refreshed on 2008-05-29.

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