NPI 1275704462

Watermark 3030 Park LLC

Organisation Skilled Nursing Facility Bridgeport, CT

Practice location

Address: 3030 Park Ave, Bridgeport, CT 06604
Phone: (203) 374-4611
Fax: (203) 374-2871

Authorised official

Name: David Freshwater
Title: Authorized Agent
Phone: (520) 797-4000

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 2347 (CT)

Other Skilled Nursing Facility providers in Connecticut →

Registry record

NPI: 1275704462
Entity type: Organization
NPI issued: 17 Mar 2008
Record last updated: 2 Jun 2009

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.