Organization
BETHEL HOUSE ATTENDANT CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BACCI (DIRECTOR OF OPERATIONS)
(316) 771-7316
Entity
Organization
Contact information
Practice address
4031 E HARRY ST, WICHITA, KS 67218-3724
(316) 771-7316
Mailing address
4031 E HARRY ST, WICHITA, KS 67218-3724
(316) 771-7316
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087150
KS
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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