Bridgeport Senior Living - Port Isle LLC
NPI #1124431762 in Windermere, Florida
Provider Information
- NPI Number
- 1124431762
- Entity Type
- Organization
- Organization Name
- Bridgeport Senior Living - Port Isle LLC
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Jun 10, 2014
- Last Updated
- Jun 10, 2014
Practice Location
- Address
- 13506 SUMMERPORT VILLAGE PKWY
- Address 2
- #129
- City
- Windermere
- State
- Florida
- ZIP Code
- 34786-7366
- Phone
- (407) 760-3649
Authorized Official
- Name
- KEVIN GALBASINI
- Title
- OWNER
- Phone
- (407) 760-3649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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