West 380 Nursing Center
NPI #1295777902 in Bridgeport, Texas
Provider Information
- NPI Number
- 1295777902
- Entity Type
- Organization
- Organization Name
- West 380 Nursing Center
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 10, 2006
- Last Updated
- Jul 30, 2008
Practice Location
- Address
- 2108 15TH ST
- City
- Bridgeport
- State
- Texas
- ZIP Code
- 76426
- Phone
- (940) 683-5023
Authorized Official
- Name
- PAUL OWENS
- Title
- CHAIRMAN OF BOARD
- Phone
- (940) 683-5283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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