Provider Demographics
NPI:1639668890
Name:LCS BRIDGEWATER OPERATIONS LLC
Entity Type:Organization
Organization Name:LCS BRIDGEWATER OPERATIONS LLC
Other - Org Name:ARBOR AT LAUREL CIRCLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP AND MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:D
Authorized Official - Last Name:PENDROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-875-4500
Mailing Address - Street 1:400 LOCUST ST STE 820
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-2334
Mailing Address - Country:US
Mailing Address - Phone:515-875-4500
Mailing Address - Fax:515-875-4781
Practice Address - Street 1:100 MONROE ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-5002
Practice Address - Country:US
Practice Address - Phone:908-595-6517
Practice Address - Fax:908-595-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility