OrganizationActive
Life Bridges, Inc.
NPI 1679877518 · Intellectual Disabilities Intermediate Care Facility · Cleveland, TN
Provider details
- NPI number
- 1679877518
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lucas Queen, Ceo(423) 472-5268
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
207 Kile Lake Road
Cleveland, TN 37323
Phone: (423) 478-7700
Fax: (423) 478-7772
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 29
Cleveland, TN 37364-0029
Other names (DBA / former)
- Other name
- Mcintire House
Registry dates
- Enumerated
- 2011-01-07
- Last updated
- 2025-06-04
- Certified
- 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.