OrganizationActive
Life Bridges, Inc.
NPI 1376847251 · Intellectual Disabilities Intermediate Care Facility · Cleveland, TN
Provider details
- NPI number
- 1376847251
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Lucas Queen, Ceo
Practice location
209 Kile Lake Road
Cleveland, TN 37323
Phone: (423) 472-5268
Fax: (423) 479-1492
Mailing address
Po Box 29
Cleveland, TN 37364-0029
Registry dates
- Enumerated
- 2011-01-06
- Last updated
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.