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Organization
BETHANY LUTHERAN HOMES, INC.
Active
Organization
BETHANY LUTHERAN HOMES, INC.
Active
Other names
Bethany Riverside
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD A GARVES (CHIEF FINANCIAL OFFICER)
(608) 406-3888
Entity
Organization
Contact information
Practice address
2575 7TH ST S, LA CROSSE, WI 54601-5249
(608) 775-8200
(608) 775-8270
Mailing address
2575 7TH ST S, LA CROSSE, WI 54601-5249
(608) 775-8200
(608) 775-8270
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2707
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20128200
—
WI
Enumeration date
09/13/2005
Last updated
08/02/2022
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