Bradford River Bend, Llc

LBN: Bradford River Bend, Llc
Bradford River Bend, Llc is an health care organization with primary practice located at 330 Highway 90 , Gautier MS 39553-5705. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Bradford River Bend, Llc can be contacted via phone (601) 791-5135, or through Edwards, Mark via phone (205) 244-8112.

Contact Information

Primary practice address
330 Highway 90 Gautier MS 39553-5705
Phone: (601) 791-5135
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Mark
Phone: (205) 244-8112

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1194569855
LBN Legal business name Bradford River Bend, Llc
DBA Doing business as
Authorized official Edwards, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2024
Last updated Jun 19th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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