Bridgewell

NPI #1205099231 in Osakis, Minnesota

Provider Information

NPI Number
1205099231
Entity Type
Organization
Organization Name
Bridgewell
Subpart
Yes (part of a larger organization)
Parent Organization
COMMUNITY MEMORIAL HOME AT OSAKIS MINNESOTA INC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 9, 2008
Last Updated
Nov 28, 2011

Practice Location

Address
410 W MAIN ST
City
Osakis
ZIP Code
56360-8243
Phone
(320) 859-2142

Authorized Official

Name
DAVE BRUCE CARLSON
Title
ADMINISTRATOR
Phone
(320) 859-2142

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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