Organization
BETHEL HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERLE KOEHN (ADMINISTRATOR)
(620) 846-2241
Entity
Organization
Contact information
Practice address
300 S AZTEC ST, MONTEZUMA, KS 67867-8811
(620) 846-2241
(620) 846-2149
Mailing address
300 S AZTEC ST, MONTEZUMA, KS 67867-8811
(620) 846-2241
(620) 846-2149
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
N035001
KS
Other
Enumeration date
11/15/2005
Last updated
08/22/2020
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