# THE BETHEL GROUP HOME INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013349513
- **Authorized official:** DEONNA LACRISSA SAMUEL M.S. (PRESIDENT)
- **Authorized official phone:** (330) 928-5757

## Contact information

- **Practice address:** 2107 4TH ST, CUYAHOGA FALLS, OH 44221-3211
- **Practice address phone:** (330) 928-5757
- **Mailing address:** 2107 4TH ST, CUYAHOGA FALLS, OH 44221-3211
- **Mailing address phone:** (330) 928-5757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 2169 | OH | Yes |

## Other

- **Enumeration date:** 08/07/2013
- **Last updated:** 08/07/2013