Organization
BRIDGEPORT PLACE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRY VOELLER (ADMINISTRATOR)
(253) 565-1960
Entity
Organization
Contact information
Practice address
5250 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98467-2043
(253) 565-1960
(253) 565-1996
Mailing address
5250 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98467-2043
(253) 565-1960
(253) 565-1996
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
BH 1501
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277657
—
WA
Enumeration date
10/27/2005
Last updated
08/22/2020
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