Organization Name: | BETHANY LUTHERAN HOME FOR THE AGED INC. |
NPI Number: | 1316277536 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS FRED SEVER (CEO) |
Mailing Address: | 3008 Aspen Blvd Brandon |
State: | SD US |
Postal Code: | 570052202 |
Phone Number: | 6055828622 |
Fax Number: | 6055828634 |
NPI Enumeration Date: | 01/11/2010 |
NPI Last Update Date: | 01/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 48222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |