# BRIDGE CREST SNF HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridge Crest Post Acute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043069495
- **Authorized official:** JOHN MITCHELL (SECRETARY)
- **Authorized official phone:** (801) 447-9829

## Contact information

- **Practice address:** 5220 NE HAZEL DELL AVE, VANCOUVER, WA 98663-1242
- **Practice address phone:** (360) 693-1474
- **Mailing address:** 262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2024
- **Last updated:** 05/17/2024