Organization
BETHANY COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA PERRON (CFO)
(978) 374-2160
Entity
Organization
Contact information
Practice address
100 WATER ST, HAVERHILL, MA 01830
(978) 374-2168
(978) 374-2163
Mailing address
10 PHOENIX ROW, HAVERHILL, MA 01832-5734
(978) 374-2160
(978) 374-2163
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1901966
—
MA
Enumeration date
04/02/2007
Last updated
07/05/2018
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