OrganizationActive
Bridgeway Residential Care Facility, LLC
NPI 1497344147 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fulton, MO
Provider details
- NPI number
- 1497344147
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Sue Rudroff, Rn/Owner
Practice location
828 Jefferson St
Fulton, MO 65251-1877
Phone: (573) 642-7770
Fax: (573) 642-7790
Mailing address
828 Jefferson St
Fulton, MO 65251-1877
Registry dates
- Enumerated
- 2021-01-15
- Last updated
- 2022-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.