Organization
BRIDGEWAY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM NELSON (CEO)
(309) 344-4337
Entity
Organization
Contact information
Practice address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
(309) 344-4281
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-2323
(309) 344-4281
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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