Organization
BRIDGEVIEW CENTER, LLC
Active
Other names
Bridgeview Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ALISE ZIOLKOWSKI MBA (VP FINANCE)
(813) 558-6629
Entity
Organization
Contact information
Practice address
350 S RIDGEWOOD AVE, ORMOND BEACH, FL 32174-7028
(386) 677-4545
(386) 677-3445
Mailing address
350 S RIDGEWOOD AVE, ORMOND BEACH, FL 32174-7028
(386) 677-4545
(386) 677-3445
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF10590961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007930518
AETNA
FL
05
—
026037100
—
FL
01
—
C105402
UNITED AMERICAN
FL
01
—
N98
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/11/2005
Last updated
06/12/2024
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