| NPI | 1477027902 |
|---|---|
| Doing Business As | BRIDGEPORT SENIOR LIVING |
| Entity Type | Organization |
| Authorized Contact | KAYLEE BEARD Administrator 321-663-2719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |