Organization
BRIDGEWAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE F BLUM L.N.H.A (ADMINISTRATOR)
(908) 722-7022
Entity
Organization
Contact information
Practice address
270 ROUTE 28, BRIDGEWATER, NJ 08807
(908) 722-7022
(908) 725-1822
Mailing address
270 ROUTE 28, BRIDGEWATER, NJ 08807-1919
(908) 722-7022
(908) 725-1822
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
061811
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001005
HORIZON SUBACUTE PROV #
NJ
01
—
0075906
RESPITE
NJ
01
—
315182
HORIZON SNF PROVIDER #
NJ
05
—
4499204
—
NJ
Enumeration date
10/06/2005
Last updated
04/26/2012
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