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Organization

BRIDGE 2 LIFE-ADDISON, LLC

Active
Other names
PANDA WAY
Organization subpart
No

Provider details

NPI number
Authorized official
VIVIAN BAZLEY (VICE PRESIDENT)
(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
(951) 928-0494

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary

Other

Enumeration date
11/03/2011
Last updated
11/03/2011
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