Bridge of Life Support Services
Bridge of Life Support Services is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tavares, Florida. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2201 Motley WayTavares, FL 32778-4919
Phone: (407) 813-3696
Fax: (407) 813-3696
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1861383184 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tamara Shade — Administrator · (407) 813-3696 |
| NPI enumerated | July 14, 2025 |
| Last updated in NPPES | July 14, 2025 |
| Certification date | July 14, 2025 |
| Mailing address | 2201 Motley Way, Tavares, FL 32778-4919 |
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