# BRIDGEWAY HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730771973
- **Authorized official:** NOOR AFREDE (OWNER)
- **Authorized official phone:** (860) 266-0195

## Contact information

- **Practice address:** 315 E 5TH ST STE 202, WATERLOO, IA 50703-4757
- **Practice address phone:** (860) 266-0195
- **Mailing address:** 1030 20TH AVE, EAST MOLINE, IL 61244-2220
- **Mailing address phone:** (860) 266-0195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2021
- **Last updated:** 02/09/2021