Organization
BETHANY MANOR INC
Active
Other names
Bethany Life Communities
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETSY WARBURTON (CHIEF EXECUTIVE OFFICER)
(515) 733-4325
Entity
Organization
Contact information
Practice address
212 LAFAYETTE AVE, STORY CITY, IA 50248-1454
(515) 733-4325
(515) 733-5293
Mailing address
212 LAFAYETTE AVE, STORY CITY, IA 50248-1454
(515) 733-4325
(515) 733-5293
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
850220
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272575
—
IA
05
—
0454272
—
IA
05
—
0800235
—
IA
01
—
65424
WELLMARK
IA
Enumeration date
01/24/2007
Last updated
01/13/2010
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