Organization
BETHESDA LUTHERAN COMMUNITIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN HOLTON (DIRECTOR OF ACCOUNTING SERVICES)
(920) 261-3050
Entity
Organization
Contact information
Practice address
2850 RADNOR ST, SAINT CHARLES, MO 63301-0348
(636) 493-1870
(636) 493-1871
Mailing address
600 HOFFMANN DR, WATERTOWN, WI 53094-6223
(920) 261-3050
(920) 206-7711
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/02/2010
Last updated
11/24/2010
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