Organization
BRISTOL CROSSINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY BOKOW (DIRECTOR OF ACCOUNTS RECEIVABLES)
(516) 705-4800
Entity
Organization
Contact information
Practice address
61 BELLEVUE AVENUE, BRISTOL, CT 06010
(860) 289-2180
(860) 289-4438
Mailing address
61 BELLEVUE AVENUE, BRISTOL, CT 06010
(860) 289-2180
(860) 289-4438
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009043
—
CT
Enumeration date
05/15/2007
Last updated
05/02/2016
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