Organization
BETHANY TENDER LOVE AND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ETHEL G WOODS (OWNER)
(336) 584-2763
Entity
Organization
Contact information
Practice address
532 GREENWOOD DR, BURLINGTON, NC 27217-7932
(336) 584-2763
Mailing address
532 GREENWOOD DR, BURLINGTON, NC 27217-7932
(336) 584-2763
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-001-047
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802375
—
NC
Enumeration date
04/27/2007
Last updated
07/15/2008
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