Organization
BRIDGE HAVEN MEMORY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH RANDOLPH (EXECUTIVE DIRECTOR)
(785) 218-4083
Entity
Organization
Contact information
Practice address
1126 HILLTOP DR, LAWRENCE, KS 66044-4530
(785) 218-4083
Mailing address
1126 HILLTOP DR, LAWRENCE, KS 66044-4530
(785) 218-4083
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
B023010
KS
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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