Organization
BETHANY NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F. BAUM N.H.A. (ADMINISTRATOR)
(330) 492-7171
Entity
Organization
Contact information
Practice address
626 34TH ST NW, CANTON, OH 44709-2943
(330) 492-7171
(330) 649-9440
Mailing address
626 34TH ST NW, CANTON, OH 44709-2943
(330) 492-7171
(330) 649-9440
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
3302
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2437885
—
OH
Enumeration date
09/25/2006
Last updated
07/25/2007
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