Organization
BETH HAVEN GROUP HOMES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL EWERT (CHIEF EXECUTIVE OFFICER)
(573) 221-2258
Entity
Organization
Contact information
Practice address
2510 PLEASANT ST, HANNIBAL, MO 63401-2659
(573) 221-2258
(573) 221-6172
Mailing address
2500 PLEASANT ST, HANNIBAL, MO 63401-2600
(573) 221-2258
(573) 221-6172
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
11/03/2005
Last updated
08/22/2020
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