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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