Organization
BETH HAVEN GROUP HOMES INC
Active
Other names
Beth Haven ISL's
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL EWERT (CHIEF EXECUTIVE OFFICER)
(573) 221-2258
Entity
Organization
Contact information
Practice address
14 VILLAGE RD, HANNIBAL, MO 63401-6849
(573) 221-2258
Mailing address
2500 PLEASANT ST, HANNIBAL, MO 63401-2600
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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