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Contact Information

BRIDGE 2 LIFE-ADDISON, LLC
1331 ADDISON WAY
PERRIS, CA92571-3878
 Phone: 951-928-0494
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for BRIDGE 2 LIFE-ADDISON, LLC

NPI Number 1598042608
LBN Legal business name BRIDGE 2 LIFE-ADDISON, LLC
Authorized official VIVIAN BAZLEY - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2011
Last updated 11/03/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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