Organization
MENNONITE HOME ASSOCIATION INC.
Active
Other names
Beth Haven Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERRI LAUTERBACH (CHIEF EXECUTIVE OFFICER)
(573) 221-6000
Entity
Organization
Contact information
Practice address
2500 PLEASANT ST, HANNIBAL, MO 63401-2600
(573) 221-6000
(573) 221-6172
Mailing address
2500 PLEASANT ST, HANNIBAL, MO 63401-2600
(573) 221-6000
(573) 221-6172
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030867
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101480101
—
MO
Enumeration date
06/23/2005
Last updated
08/25/2022
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