NPI 1255427415
Bridgeport Senior Living, LLC
Practice location
- Address
- Rr 4 Box 17, Bridgeport, WV 26330-9509
- Phone
- (304) 842-4135
Authorised official
- Name
- Jon M. Harder
- Title
- Mgr. Bridgeport Senior Living, LLC
- Phone
- (503) 375-9016
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1255427415
- Entity type
- Organization
- NPI issued
- 5 Oct 2006
- 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.