Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Bridge LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1710603113

Life Bridge LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Canton, Ohio. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3722 Whipple Ave NW
Canton, OH 44718-2934
Phone: (330) 324-7785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1710603113
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Shaffer — Ceo · (330) 324-7785
Other names Life Bridge
NPI enumeratedOctober 17, 2022
Last updated in NPPESOctober 17, 2022
Certification dateOctober 12, 2022
Mailing address3722 Whipple Ave Nw, Canton, OH 44718-2934

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