BRIDGEWAY, INC
Intermediate Care Facility, Mental Illness
Galesburg, Illinois
Provider NPI: 1790908200
Organization Information:Organization Name: BRIDGEWAY, INC
Practice Location:
1084 LAWRENCE AVE GALESBURG, IL 61401 US
Tel: 309-343-2290 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
1084 LAWRENCE AVE GALESBURG, IL 61401 US
Tel: 309-343-2290 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | IL | =========029 |
Y | 261QM0801X | Ambulatory Health Care Facilities Clinic/Center |