Bridgeport Center LLC
NPI #1710421896 in Bridgeport, West Virginia
Provider Information
- NPI Number
- 1710421896
- Entity Type
- Organization
- Organization Name
- Bridgeport Center LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 8, 2016
- Last Updated
- May 18, 2022
Practice Location
- Address
- 41 CRESTVIEW TER
- City
- Bridgeport
- State
- West Virginia
- ZIP Code
- 26330-1010
- Phone
- (304) 842-7101
Authorized Official
- Name
- MR. LAWRENCE A PACK
- Title
- MANAGER
- Phone
- (304) 343-1950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Skilled Nursing Facility |
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