Bridgeway Residential Care Facility, LLC

NPI #1497344147 in Fulton, Missouri

Provider Information

NPI Number: 1497344147
Entity Type: Organization
Organization Name: Bridgeway Residential Care Facility, LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 15, 2021
Last Updated: May 26, 2022

Practice Location

Address: 828 JEFFERSON ST
City: Fulton
State: Missouri
ZIP Code: 65251-1877
Phone: (573) 642-7770

Authorized Official

Name: MRS. SUE RUDROFF, RN
Title: RN/OWNER
Phone: (573) 489-0246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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