Organization
BETHESDA LUTHERAN HOMES & SVCS INC
Active
Organization
BETHESDA LUTHERAN HOMES & SVCS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF KACZMARSKI (CORPORATE LAWYER)
(920) 261-3050
Entity
Organization
Contact information
Practice address
1019 S GEYER RD, KIRKWOOD, MO 63122-7105
(314) 821-2986
Mailing address
600 HOFFMANN DR, WATERTOWN, WI 53094-6223
(920) 261-3050
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856131206
—
MO
Enumeration date
08/01/2007
Last updated
11/24/2010
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