# BETHANY HOME, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952988842
- **Authorized official:** DR. JOSEPH TAYLOR BIRLI (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (610) 589-4501

## Contact information

- **Practice address:** 1863 BETHANY RD, WOMELSDORF, PA 19567-9214
- **Practice address phone:** (610) 589-4501
- **Mailing address:** 1863 BETHANY RD, WOMELSDORF, PA 19567-9214
- **Mailing address phone:** (610) 589-4501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 04/07/2021