# FOREST RIDGE HEALTH - BREMERTON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forest Ridge Health & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780756932
- **Authorized official:** MR. DOV E JACOBS (MANAGER)
- **Authorized official phone:** (323) 678-4426

## Contact information

- **Practice address:** 140 S MARION AVE, BREMERTON, WA 98312-3639
- **Practice address phone:** (360) 479-4747
- **Practice address fax:** (360) 377-3736
- **Mailing address:** 140 S MARION AVE, BREMERTON, WA 98312-3639
- **Mailing address phone:** (360) 479-4747
- **Mailing address fax:** (360) 377-3736

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4111589 | — | WA |