Organization
BETHAMY ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN LANE MORRIS (ADMINISTRATOR)
(704) 633-1985
Entity
Organization
Contact information
Practice address
102 ANN STREET, SPENCER, NC 28159-2818
(704) 633-5212
Mailing address
909 ORTH SALISBURY AVE, SPENCER, NC 28159-2818
(704) 633-5212
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
FCL-080-001
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780-3264
—
NC
Enumeration date
02/28/2007
Last updated
07/31/2008
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