Bridgeport Health Care Center, INC
Skilled Nursing Facility in Bridgeport, CT. Organization (NPI-2).
NPI number1003909623
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1003909623
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridgeport Health Care Center, INC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 2079-c | CT | Yes |
Other names
- Bridgeport Manor (Doing Business As)
Practice location
540 Bond StreetBridgeport, CT 06610
Phone 203-384-6400 · Fax 203-384-6499
Mailing address
540 Bond StreetBridgeport, CT 06610
Phone 203-384-6400 · Fax 203-384-6499
Authorized official
Christopher A Massaro
Administrator
2033846400
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