BRIDGEWAY ESTATES
Assisted Living Facility
Little Falls, Minnesota
Provider NPI: 1043235716
Organization Information:Organization Name: BRIDGEWAY ESTATES
Practice Location:
103 12TH ST. NE LITTLE FALLS, MN 56345 US
Tel: 320-632-2089 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
103 12TH ST. NE LITTLE FALLS, MN 56345 US
Tel: 320-632-2089 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MN | 330186 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICA | 4980473 | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin