Organization
BETHANNA
Active
Other names
Bethanna Bible and Missionary Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD L FRITCH (CHIEF FINANCIAL OFFICER)
(215) 355-6500
Entity
Organization
Contact information
Practice address
1030 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3955
(215) 355-6500
(215) 355-8617
Mailing address
1030 2ND STREET PIKE, SOUTHAMPTON, PA 18966-3955
(215) 355-6500
(215) 355-8617
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
100910
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007513410001
—
PA
Enumeration date
04/18/2007
Last updated
08/22/2020
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