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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2108 15TH ST BRIDGEPORT, TX 76426 US
Tel: 940-683-5023 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
001014008 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin