Organization
BRIDGEPORT HEALTH CARE CENTER, INC
Active
Other names
Bridgeport Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER A MASSARO LNHA (ADMINISTRATOR)
(203) 384-6400
Entity
Organization
Contact information
Practice address
540 BOND STREET, BRIDGEPORT, CT 06610
(203) 384-6400
(203) 384-6499
Mailing address
540 BOND STREET, BRIDGEPORT, CT 06610
(203) 384-6400
(203) 384-6499
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2079-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000020793
—
CT
Enumeration date
10/02/2006
Last updated
08/22/2020
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