Bethesda Long Term Care, Inc.

NPI 1073673828 - Custodial Care Facility - 311Z00000X

NPI Details
NPI 1073673828
Enumeration Date 12/11/2006
Last Updated 01/24/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOSEPH J JOSEPH
Position EXECUTIVE VICE PRESIDENT
Phone (314) 481-4840
Fax (314) 481-1014
Practice Location
4431 SOUTH BROADWAY
ST. LOUIS MO, 63111, US
Phone (314) 481-4840
Fax (314) 481-1014
Business Location
4431 SOUTH BROADWAY
ST. LOUIS MO, 63111, US
Phone (314) 481-4840
Fax (314) 481-1014
Toxanomy
Taxonomy Code 311Z00000X
License State
License Number
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According to our database, Bethesda Long Term Care, Inc. NPI is 1073673828, taxonomy code is 311Z00000X Bethesda Long Term Care, Inc. physically located at 4431 South Broadway, St. Louis MO, 63111. NPI Number 1033115704 has the healthcare provider type.

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1073673828 NPI number is provided on an as is basis without warranty of any kind. 1073673828 is maintained by the National Plan & Provider Enumeration System. The contents of Bethesda Long Term Care, Inc. are for informational purposes only.