Organization
BRIDGEWATER PARK LLC
Active
Other names
BRIDGEWATER PARK HEALTH & REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CULLEN S GIBSON (VICE PRESIDENT)
(765) 664-5400
Entity
Organization
Contact information
Practice address
9280 SW 81ST CT, OCALA, FL 34481
(352) 509-5201
(352) 861-4255
Mailing address
1800 N WABASH RD, MARION, IN 46952-1300
(765) 664-5400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0229220-00
—
FL
Enumeration date
02/20/2017
Last updated
01/07/2021
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