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General NPI Number Information
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NPI Number | 1942145214
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Entity Type | Organization
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Legal Business Name | BRIDGEWAY HEALTH AND REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 3900 LAKEWOOD DR
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City | PHENIX CITY
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State | AL
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Zip | 36867-2448
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Country | US
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Telephone | 334-298-8247
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Fax |
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Provider Business Mailing Address
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Address Line | 165 N VILLAGE AVE STE 126
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3763
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MENACHEM RUVEL
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Credential |
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Telephone | 516-605-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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