Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bridgeway Residential Care Facility, LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1497344147

Bridgeway Residential Care Facility, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fulton, Missouri. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

828 Jefferson St
Fulton, MO 65251-1877
Phone: (573) 642-7770
Fax: (573) 642-7790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1497344147
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sue Rudroff — Rn/Owner · (573) 489-0246
NPI enumeratedJanuary 15, 2021
Last updated in NPPESMay 26, 2022
Certification dateMay 26, 2022
Mailing address828 Jefferson St, Fulton, MO 65251-1877

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