# BRIDGEWATER HEALTH SUPPLIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRIDGEWATER HEALTH SUPPLIES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205443371
- **Legal business name:** BRIDGEWATER HEALTH SUPPLIES LLC
- **Authorized official:** MR. STEVEN FRANEY (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (631) 579-5308

## Contact information

- **Practice address:** 2605 TEXAS BLVD STE 102, TEXARKANA, TX 75503-4161
- **Practice address phone:** (903) 255-0097
- **Practice address fax:** (516) 908-4383
- **Mailing address:** 2605 TEXAS BLVD STE 102, TEXARKANA, TX 75503-4161
- **Mailing address phone:** (903) 255-0097
- **Mailing address fax:** (516) 908-4383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2020
- **Last updated:** 02/03/2024