West 380 Nursing Home Facility
NPI #1407092695 in Bridgeport, Texas
Provider Information
- NPI Number
- 1407092695
- Entity Type
- Organization
- Organization Name
- West 380 Nursing Home Facility
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Dec 18, 2008
- Last Updated
- Dec 18, 2008
Practice Location
- Address
- 2108 15TH ST
- City
- Bridgeport
- State
- Texas
- ZIP Code
- 76426-2055
- Phone
- (940) 683-5023
Authorized Official
- Name
- PAUL OWNES
- Title
- CHAIRMAN OF BOARD
- Phone
- (940) 683-0302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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