Organization
BRIDGEWAY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOOR AFREDE (OWNER)
(860) 266-0195
Entity
Organization
Contact information
Practice address
315 E 5TH ST STE 202, WATERLOO, IA 50703-4757
(860) 266-0195
Mailing address
1030 20TH AVE, EAST MOLINE, IL 61244-2220
(860) 266-0195
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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