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WEST 380 NURSING CENTER

Assisted Living Facility

Bridgeport, Texas

Provider NPI: 1295777902

Organization Information:
Organization Name:  WEST 380 NURSING CENTER


Practice Location:
2108 15TH ST  BRIDGEPORT, TX 76426 US
Tel: 940-683-5023  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility

Other Provider Identifiers:

IssuerNumberStateType
001014008TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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