Provider Demographics
NPI:1699322040
Name:CHRISTOPHER'S BRIDGE, LLC
Entity type:Organization
Organization Name:CHRISTOPHER'S BRIDGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PIEPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-705-1581
Mailing Address - Street 1:3651 MARS HILL RD, SUITE 1600
Mailing Address - Street 2:
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677
Mailing Address - Country:US
Mailing Address - Phone:706-705-1581
Mailing Address - Fax:706-705-1582
Practice Address - Street 1:3651 MARS HILL RD, SUITE 1600
Practice Address - Street 2:
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677
Practice Address - Country:US
Practice Address - Phone:706-705-1581
Practice Address - Fax:706-705-1582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care