Bethel Home And Services Inc

NPI 1386631240 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1386631240
Enumeration Date 10/05/2005
Last Updated 04/28/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CLARK D CLARK
Position EXECUTIVE DIRECTOR
Phone (608) 637-2171
Fax (608) 637-8303
Practice Location
614 S ROCK AVE
VIROQUA WI, 54665-1936, US
Phone (608) 637-2171
Fax (608) 637-8303
Business Location
614 S ROCK AVE
VIROQUA WI, 54665-1936, US
Phone (608) 637-2171
Fax (608) 637-8303
Toxanomy
Taxonomy Code 314000000X
License State Wisconsin
License Number 0595
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According to our database, Bethel Home And Services Inc NPI is 1386631240, taxonomy code is 314000000X and license number is 0595, license state is located at Wisconsin. Bethel Home And Services Inc physically located at 614 S Rock Ave, Viroqua WI, 54665-1936. NPI Number 1033115704 has the healthcare provider type.

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1386631240 NPI number is provided on an as is basis without warranty of any kind. 1386631240 is maintained by the National Plan & Provider Enumeration System. The contents of Bethel Home And Services Inc are for informational purposes only.