Organization
BRIDGEPORT SENIOR LIVING - PORT MAITLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADAM ANTHONY (MANAGING PARTNER)
(407) 810-1344
Entity
Organization
Contact information
Practice address
955 STONEWOOD LN, MAITLAND, FL 32751-3238
(407) 810-1344
Mailing address
404 SPRING VALLEY RD, ALTAMONTE SPRINGS, FL 32714-5845
(407) 810-1344
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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