Organization
BRIDGEWAY RESIDENTIAL CARE FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE RUDROFF RN (RN/OWNER)
(573) 489-0246
Entity
Organization
Contact information
Practice address
828 JEFFERSON ST, FULTON, MO 65251-1877
(573) 642-7770
(573) 642-7790
Mailing address
828 JEFFERSON ST, FULTON, MO 65251-1877
(573) 642-7770
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
05/26/2022
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