# PRISCILLA C NELSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bethel House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497979959
- **Authorized official:** MRS. PRISCILLA CHRISTINE BACCI (OWNER)
- **Authorized official phone:** (316) 371-6563

## Contact information

- **Practice address:** 1316 N CHARLOTTE, WICHITA, KS 67208
- **Practice address phone:** (316) 440-4406
- **Practice address fax:** (316) 440-4407
- **Mailing address:** 1842 TARA FALLS CT, WICHITA, KS 67207-6570
- **Mailing address phone:** (316) 440-4406
- **Mailing address fax:** (316) 201-1015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | B087145 | KS | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 07/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200400780A | — | KS |
| 05 | — | 200543750A | — | KS |