Organization · Type 2 NPI
Bridge of Life Support Services Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Tavares, FL
Practice location
2201 Motley Way
Tavares, FL 32778-4919
Fax (407) 813-3696
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1861383184
Bridge of Life Support Services Inc's National Provider Identifier is 1861383184, issued on Jul 14, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Tavares, FL. The record was last updated on Nov 2, 2026.