Organization
BETHESDA LONG TERM CARE, INC.
Active
Other names
Bethesda Meadow
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH J BRINKER (EXECUTIVE VICE PRESIDENT)
(314) 800-1988
Entity
Organization
Contact information
Practice address
322 OLD STATE RD, ELLISVILLE, MO 63021-5917
(636) 227-3431
(636) 394-5037
Mailing address
1630 DES PERES RD, STE 290, SAINT LOUIS, MO 63131-1800
(314) 800-1900
(314) 800-1961
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032050
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106056609
—
MO
Enumeration date
02/27/2006
Last updated
01/24/2012
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