BRIDGEPORT SENIOR LIVING LLC NPI 1043429301

NPI Information

BRIDGEPORT SENIOR LIVING, LLC is an assisted living facility in Bridgeport, WV. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BRIDGEPORT SENIOR LIVING, LLC NPI is 1043429301. The provider is registered as an organization entity type.
The provider Is Doing Business As The Heritage Senior Living Community.

The provider's business location address is:

RR 4 BOX 17
BRIDGEPORT, WV
ZIP 26330-509
Phone: (304) 842-4135

The provider's authorized official is Jon Harder .
The authorized official title is Manager and has the following contact phone number (503) 485-4600.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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