Organization
RESIDENCE CARE SERVICES LLC
Active
Other names
Bethamy Retreat
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIEZER KLEIN LNHA (MR)
(347) 546-4877
Entity
Organization
Contact information
Practice address
102 ANNE ST, SPENCER, NC 28159-1800
(704) 633-5212
Mailing address
1815 LAKEWOOD RD, TOMS RIVER, NJ 08753
(347) 546-4877
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00
—
NC
Enumeration date
08/26/2021
Last updated
08/26/2021
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