Organization
BETHESDA HOME OF ABERDEEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT EISENBEISZ (CEO/ADMINISTRATOR)
(605) 225-7580
Entity
Organization
Contact information
Practice address
1224 S HIGH ST, ABERDEEN, SD 57401-7724
(605) 225-7580
(605) 225-7585
Mailing address
1224 S HIGH ST, ABERDEEN, SD 57401-7724
(605) 225-7580
(605) 225-7585
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10589
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150700
—
SD
01
—
0733230001
NATIONAL SUPPLIER CLEARIN
SD
Enumeration date
10/05/2005
Last updated
11/03/2021
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