Organization
BRIDGEPORT HEALTH CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD R JONES (MANAGER)
(304) 344-1623
Entity
Organization
Contact information
Practice address
RT 4 BOX 17, BRIDGEPORT, WV 26330-9509
(304) 842-4195
(304) 842-4398
Mailing address
PO BOX 532, CHARLESTON, WV 25322-0532
(304) 344-1623
(304) 556-9165
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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