Organization
BRIDGEPORT WAY W HEALTHCARE LLC
Active
Other names
Agility Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MILLER (CEO)
(253) 268-2410
Entity
Organization
Contact information
Practice address
5520 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98467-2041
(253) 566-7166
Mailing address
15406 MERIDIAN E STE 201, PUYALLUP, WA 98375-9504
(253) 268-2410
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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