Organization
RESIDENCE CARE SERVICE LLC
Active
Other names
Bethamy Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIEZER KLEIN LNHA (DIRECTOR)
(347) 546-4877
Entity
Organization
Contact information
Practice address
909 N SALISBURY AVE, SPENCER, NC 28159-1828
(347) 546-4877
Mailing address
1815 LAKEWOOD RD, TOMS RIVER, NJ 08755
(347) 546-4877
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNAVAILABLE
—
NC
Enumeration date
08/26/2021
Last updated
08/26/2021
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