Organization · NPI-2

Bridgewater Park LLC

Skilled Nursing Facility · Ocala, FL

NPI number1225577505
StatusActive
Last updated in NPPESJan 7, 2021

Details

NPI
1225577505
Entity type
Organization (NPI-2)
Legal business name
Bridgewater Park LLC
Organization subpart
No
Enumeration date
Feb 20, 2017
Certification date
Jan 7, 2021
Last updated
Jan 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility–FLYes

Other names

  • Bridgewater Park Health & Rehabilitation Center (Doing Business As)

Practice location

9280 Sw 81st Ct
Ocala, FL 34481

Phone 352-509-5201 · Fax 352-861-4255

Mailing address

1800 N Wabash Rd
Marion, IN 46952-1300

Phone 765-664-5400

Authorized official

Cullen S Gibson
Vice President
7656645400

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