Organization
BRIDGE 2 LIFE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN BAZLEY (VICE PRES)
(951) 928-0494
Entity
Organization
Contact information
Practice address
1331 ADDISON WAY, PERRIS, CA 92571-3878
(951) 928-0494
Mailing address
PO BOX 2551, GUASTI, CA 91743-2551
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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