Organization
BRIDGEWOOD HEALTH CARE CENTER, L.L.C.
Active
Other names
Bridgewood Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHWIN DUNDOO (FINANCE)
(314) 543-3800
Entity
Organization
Contact information
Practice address
11515 TROOST AVENUE, KANSAS CITY, MO 64131-3769
(816) 943-0101
(816) 943-1615
Mailing address
1869 CRAIG PARK CT, SAINT LOUIS, MO 63146-4122
(314) 543-3800
(314) 543-3880
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
038747
MO
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101780609
—
MO
Enumeration date
11/19/2007
Last updated
04/04/2013
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