COMMUNITY BRIDGES, INC.
Respite Care Facility at Dodge Blvd, Tucson, AZ

License number
Arizona BH4997
Category
Medical Laboratory
Type
Clinical Medical Laboratory
License number
Arizona BH4997
Category
Residential Treatment Facilities
Type
Psychiatric Residential Treatment Facility
License number
Arizona BH4997
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
License number
Arizona BH4997
Category
Transportation
Type
Non-emergency Medical Transport (VAN)
License number
Arizona BH4997
Category
Respite Care Facility
Type
Respite Care
Owner
Name: JOHN HOGEBOOM LISAC
Title: VP/COO
Phone: (480) 831-7566
Address
Address 2
2950 N Dodge Blvd, Tucson, AZ 85716
1855 W Baseline Rd SUITE 101, Mesa, AZ 85202
National Provider ID: 1871049775
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COMMUNITY BRIDGES, INC. at bizstanding.com

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

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