- Enrollment id
- O20080128000099
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1679765747
- Multiple npi flag
- N
- Ccn
- 368232
- Associate id
- 9739261934
- Organization name
- ALTERNATE SOLUTIONS HOMECARE 3, LLC
- Doing business as name
- BRIDGES REHAB AT HOME
- Incorporation date
- 2002-09-09
- Incorporation state
- OH
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 4700 DUKE DR
- Address line 2
- STE 135B
- City
- MASON
- State
- OH
- Zip code
- 450409507