COMMUNITY BRIDGES, INC
Respite Care Facility at Ocotillo Ave, Mescal, AZ

License number
Arizona BH-4500
Category
Ambulatory Health
Type
Rural Health
License number
Arizona BH-4500
Category
Medical Laboratory
Type
Clinical Medical Laboratory
License number
Arizona BH-4500
Category
Residential Treatment Facilities
Type
Psychiatric Residential Treatment Facility
License number
Arizona BH-4500
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
License number
Arizona BH-4500
Category
Transportation
Type
Non-emergency Medical Transport (VAN)
License number
Arizona BH-4500
Category
Respite Care Facility
Type
Respite Care
Owner
Name: MR. JOHN HOGEBOOM LISAC
Title: COO
Phone: (480) 831-7566
Address
Address 2
470 S Ocotillo Ave, Mescal, AZ 85602
1855 W. Baseline Rd. SUITE 101, Mesa, AZ 85202
National Provider ID: 1699077321
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COMMUNITY BRIDGES, INC

Mesa, AZ

Industry:
Individual/Family Services
Doing business as:
Community Bridges
Registration:
Dec 29, 1982
Phone:
(480) 831-7566 (Phone), (480) 755-5070 (Phone)
Addresses:
1855 W Baseline Ave #101, Mesa, AZ 85202 (Physical)
1855 W Baseline Rd, Mesa, AZ 85202
1811 S Alma School Rd, Mesa, AZ 85210
State ID:
-0152679-3
Expiration:
PERPETUAL
Vice-Presidents:
Kerry Remella (President), 1855 W Baseline Rd STE 101, Mesa, AZ 85202 (Physical),Kathleen Kelly (Secretary), 1855 W Baseline Rd STE 101, Mesa, AZ 85202 (Physical),David Shumway (Treasurer), 1855 W Baseline Rd STE 101, Mesa, AZ 85202 (Physical),...
Agent:
Ezra T Clark Iii,63 E Main St #501, Mesa, AZ 85201 (Physical)
Categories:
Physical Therapists

Community Bridges Inc

470 S Ocotillo Ave, Benson, AZ 85602

Categories:
Alcohol & Drug Abuse Information & Treatment
Phone:
(520) 720-6506 (Phone)

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