Organization
BRIDGEWAY REHABILITATION SERVICES
Active
Other names
BRIDGEWAY REHABILITATION SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSITA JIMENEZ (REVENUE CYCLE SUPERVISOR)
(908) 469-6517
Entity
Organization
Contact information
Practice address
567 MORRIS AVE, ELIZABETH, NJ 07208-1985
(908) 355-7200
(908) 469-6519
Mailing address
615 N BROAD ST, ELIZABETH, NJ 07208-3409
(908) 469-6517
(908) 469-6519
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7705409
—
NJ
Enumeration date
04/09/2019
Last updated
06/11/2019
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