Bridgeway Residential Care Facility, Llc

LBN: Bridgeway Residential Care Facility, Llc
Bridgeway Residential Care Facility, Llc is an health care organization with primary practice located at 828 Jefferson St , Fulton MO 65251-1877. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Bridgeway Residential Care Facility, Llc can be contacted via phone (573) 642-7770, or through Rudroff, Sue via phone (573) 489-0246.

Contact Information

Primary practice address
828 Jefferson St Fulton MO 65251-1877
Phone: (573) 642-7770
Fax: (573) 642-7790
Website:
Map and Directions
Authorized official contact:
Name: Rudroff, Sue Registered Nurse (RN)
Phone: (573) 489-0246

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1497344147
LBN Legal business name Bridgeway Residential Care Facility, Llc
DBA Doing business as
Authorized official Rudroff, Sue Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2021
Last updated May 26th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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