NPI | 1285803148 |
---|---|
Doing Business As | BRIDGEPORT HEALTH CARE CENTER |
Entity Type | Organization |
Authorized Contact | RAYMOND J. WATT Operating Manager 731-267-2861 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: TX 004054) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2008-02-25 |