| NPI | 1316465578 |
|---|---|
| Doing Business As | BRIDGEPORT PLACE |
| Entity Type | Organization |
| Authorized Contact | NETANEL SAIDOFF Manager 310-234-9598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-10-05 |