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Organization

BETHANY HOME HEALTH CARE

Active
Parent organization
BETHANY LUTHERAN HOME
Organization subpart
Yes

Provider details

NPI number
Legal business name
BETHANY LUTHERAN HOME
Authorized official
MRS. PATRICIA MICHELLE OTTEN RN, C (DIRECTOR)
(712) 310-4455
Entity
Organization

Contact information

Practice address
11 ELLIOTT ST, COUNCIL BLUFFS, IA 51503-0223
(712) 310-4455
(712) 329-4058
Mailing address
11 ELLIOTT ST, COUNCIL BLUFFS, IA 51503-0223
(712) 310-4455
(712) 329-4058

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
089615
IA

Other

Enumeration date
01/09/2008
Last updated
01/09/2008
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