NPI | 1285063388 |
---|---|
Doing Business As | BRIDGEWAY ESTATES |
Entity Type | Organization |
Authorized Contact | SHERRY LYNN WAGNER CFO 320-589-4919 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 367342) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: MN 364882) |
Enumeration Date | 2013-11-08 |
Last Update Date | 2014-05-05 |