Organization
BETHESDA LUTHERAN HOMES & SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY A KACZMARSKI (CLAO)
(920) 206-4406
Entity
Organization
Contact information
Practice address
1480 RECKINGER RD, AURORA, IL 60505-1624
(630) 841-6777
Mailing address
600 HOFFMANN DR, WATERTOWN, WI 53094-6223
(920) 261-3050
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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