NPI 1043429301

Bridgeport Senior Living, LLC

Organisation Assisted Living Facility Bridgeport, WV

Practice location

Address: Rr 4 Box 17, Bridgeport, WV 26330-9509
Phone: (304) 842-4135
Mailing address: PO Box 3006, Salem, OR 97302-0006

Authorised official

Name: Jon Harder
Title: Manager
Phone: (503) 485-4600

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in West Virginia →

Registry record

NPI: 1043429301
Entity type: Organization
NPI issued: 22 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.