Provider Demographics
NPI:1831432301
Name:BREDD HEALTH SERVICES
Entity type:Organization
Organization Name:BREDD HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULINE
Authorized Official - Middle Name:O
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-718-8828
Mailing Address - Street 1:6561 N CAPITOL ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2127
Mailing Address - Country:US
Mailing Address - Phone:410-718-8828
Mailing Address - Fax:
Practice Address - Street 1:5984 GRAND BANKS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2733
Practice Address - Country:US
Practice Address - Phone:410-718-8828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities