Organization
BETHANY RETIREMENT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S. KISER (DIRECTOR OF FINANCE)
(607) 378-6574
Entity
Organization
Contact information
Practice address
3005 WATKINS RD, HORSEHEADS, NY 14845-1800
(607) 739-8711
(607) 796-2566
Mailing address
3005 WATKINS RD, HORSEHEADS, NY 14845-1800
(607) 739-8711
(607) 796-2566
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
9305L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01457556
—
NY
05
—
02057014
—
NY
Enumeration date
02/26/2007
Last updated
07/07/2015
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