NPI | 1750797312 |
---|---|
Doing Business As | LIFE CARE CENTER OF BRIDGETON |
Entity Type | Organization |
Authorized Contact | CINDY S CROSS Assistant Secretary 423-473-5867 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 041644) |
Enumeration Date | 2014-07-03 |
Last Update Date | 2015-10-27 |