BRIDGEWAY RESIDENTIAL CARE FACILITY, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Fulton, MO. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. BRIDGEWAY RESIDENTIAL CARE FACILITY, LLC NPI is 1497344147. The provider is registered as an organization entity type.
The provider's business location address is:
828 JEFFERSON ST
FULTON, MO
ZIP 65251-877
Phone: (573) 642-7770
Fax: (573) 642-7790
The provider's authorized official is Sue Rudroff .
The authorized official title is Rn/owner and has the following contact phone number (573) 489-0246.
The CLIA number assigned to this NPI record is 26D1090329 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/15/2021 and was last updated on 5/26/2022.