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THE BRIDGE OF GEORGIA SCHOOL INC NPI 1124552088


NPI Information

NPI: 1124552088
Provider Name: THE BRIDGE OF GEORGIA SCHOOL, INC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
109 BLAINE ST
MONROE, GA
ZIP 30655
Phone: (770) 406-6111
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THE BRIDGE OF GEORGIA SCHOOL, INC is a day training developmentally disabled services in Monroe, GA. The provider is 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 individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. THE BRIDGE OF GEORGIA SCHOOL, INC NPI is 1124552088. The provider is registered as an organization entity type.

The provider's business location address is:

109 BLAINE ST
MONROE, GA
ZIP 30655-403
Phone: (770) 406-6111
Fax: (678) 635-8709

The provider's authorized official is Tamila Embry Burt .
The authorized official title is Executive Director and has the following contact phone number (770) 406-6111.

The enumeration date for this NPI number is 4/18/2017 and was last updated on 4/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2252Y00000XEarly Intervention Provider AgencyNo
3251C00000XDay Training, Developmentally Disabled ServicesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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