# BETHANY HOME ASSOCIATION OF LINDSBORG KANSAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bethany Home Association
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033102165
- **Authorized official:** MR. MARLIN JOHNSON (ADMINISTRATOR)
- **Authorized official phone:** (785) 227-2892

## Contact information

- **Practice address:** 321 N CHESTNUT ST, LINDSBORG, KS 67456-1904
- **Practice address phone:** (785) 227-2892
- **Practice address fax:** (785) 227-3138
- **Mailing address:** 321 N CHESTNUT ST, LINDSBORG, KS 67456-1904
- **Mailing address phone:** (785) 227-2892
- **Mailing address fax:** (785) 227-3138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 100108780A | KS | Yes |

## Other

- **Enumeration date:** 08/24/2005
- **Last updated:** 09/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1041589001 | — | KS |