Organization
BETHESDA LONG TERM CARE, INC.
Active
Other names
Bethesda Southgate
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH J BRINKER (CHIEF EXECUTIVE OFFICER)
(314) 800-1986
Entity
Organization
Contact information
Practice address
5943 TELEGRAPH RD, SAINT LOUIS, MO 63129-4715
(314) 846-2000
(314) 846-4661
Mailing address
12101 WOODCREST EXECUTIVE DR STE 200, SAINT LOUIS, MO 63141-5047
(314) 800-1900
(314) 900-3683
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032167
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101496206
—
MO
Enumeration date
02/27/2006
Last updated
05/28/2025
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