# BETHEL LUTHERAN HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bethel Lutheran Home Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255446415
- **Authorized official:** MRS. SHIKHA SHALINI PATTESON (ADMINISTRATOR/ EXECUTIVE OFFICER)
- **Authorized official phone:** (559) 896-4900

## Contact information

- **Practice address:** 2280 DOCKERY AVENUE, SELMA, CA 93662-3806
- **Practice address phone:** (559) 896-4900
- **Practice address fax:** (559) 896-6842
- **Mailing address:** 2280 DOCKERY AVENUE, SELMA, CA 93662-3806
- **Mailing address phone:** (559) 896-4900
- **Mailing address fax:** (559) 896-6842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 100400043 | CA | — |
| 314000000X | Skilled Nursing Facility | 040000077 | CA | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 01/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1205315 | — | CA |