Organization
BETHEL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLASS B. SMITH (PRESIDENT AND DIRECTOR)
(615) 647-9004
Entity
Organization
Contact information
Practice address
8014 BETHEL RD, ARPIN, WI 54410-9558
(715) 652-2103
(859) 281-5150
Mailing address
121 S WATER AVE, GALLATIN, TN 37066-2902
(615) 989-7881
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3079
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20191600
—
WI
Enumeration date
09/15/2005
Last updated
03/04/2018
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