Organization
BRIDGE 2 LIFE - EL NIDO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN BAZLEY (MANAGING MEMBER)
(951) 928-0494
Entity
Organization
Contact information
Practice address
1637 EL NIDO AVE, PERRIS, CA 92571-3700
(951) 928-0494
(951) 928-0494
Mailing address
1637 EL NIDO AVE, PERRIS, CA 92571-3700
(951) 928-0494
(951) 928-0494
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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