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Organization
BETH HAVEN GROUP HOMES INC
Active
Organization
BETH HAVEN GROUP HOMES INC
Active
Other names
Magnolia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL EWERT (CHIEF EXECUTIVE OFFICER)
(573) 221-2258
Entity
Organization
Contact information
Practice address
2518 PLEASANT ST, HANNIBAL, MO 63401-2659
(573) 221-2258
Mailing address
2500 PLEASANT ST, HANNIBAL, MO 63401-2600
(573) 221-2258
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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