| NPI | 1255427415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON M. HARDER Mgr. Bridgeport Senior Living, LLC 503-375-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WV 7) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |