Organization
BRIDGE PCA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JOSEPH ROUSH (PRESIDENT)
(651) 434-0693
Entity
Organization
Contact information
Practice address
1825 CURVE CREST BLVD W, STILLWATER, MN 55082-5090
(651) 434-0693
Mailing address
1016 EAGLE RIDGE CT, STILLWATER, MN 55082-9150
(651) 434-0693
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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