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Organization
ALDRICH BOARDING CARE HOME, LLC
Active
Organization
ALDRICH BOARDING CARE HOME, LLC
Active
Other names
Bridges MN
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GANS (CHIEF OPERATIONS OFFICER)
(952) 913-5990
Entity
Organization
Contact information
Practice address
1932 UNIVERSITY AVENUE WEST, ST. PAUL, MN 55104
(612) 695-6041
(651) 528-8427
Mailing address
1932 UNIVERSITY AVENUE WEST, ST. PAUL, MN 55104
(612) 695-6041
(651) 528-8427
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
800642-2-RS
MN
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
535543500
STATE PROVIDER NUMBER
MN
Enumeration date
12/13/2006
Last updated
10/02/2019
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