# HERITAGE OF BRIDGEPORT, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage of Bridgeport
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891803490
- **Authorized official:** MR. JACK DEAN VETTER (PRESIDENT)
- **Authorized official phone:** (402) 895-3932

## Contact information

- **Practice address:** 505 O ST, BRIDGEPORT, NE 69336-4045
- **Practice address phone:** (308) 262-0725
- **Practice address fax:** (308) 262-0470
- **Mailing address:** 505 O STREET, BRIDGEPORT, NE 69336-4045
- **Mailing address phone:** (308) 262-0725
- **Mailing address fax:** (308) 262-0470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 544002 | NE | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 06/08/2011