NPI | 1811941230 |
---|---|
Doing Business As | THE BRIDGE AT MONTEAGLE |
Entity Type | Organization |
Authorized Contact | PAUL WALCZAK CEO 561-627-0664 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0099) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: TN 0099) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2020-08-22 |