NPI 1154023224
Bridgeport Senior Living - Port Maitland LLC
Practice location
- Address
- 955 Stonewood Ln, Maitland, FL 32751-3238
- Phone
- (407) 810-1344
- Mailing address
- 404 Spring Valley Rd, Altamonte Springs, FL 32714-5845
Authorised official
- Name
- Adam Anthony
- Title
- Managing Partner
- Phone
- (407) 810-1344
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1154023224
- Entity type
- Organization
- NPI issued
- 21 Mar 2023
- Record last updated
- 21 Mar 2023
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.