| Organization Name: | BETHANY ASSISTED LIVING, INC. |
| NPI Number: | 1346683745 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA ANN THEISS (PRESIDENT, CEO, EX DIRECTOR) |
| Mailing Address: | 701 E. Young Llano |
| State: | TX US |
| Postal Code: | 786431404 |
| Phone Number: | 3252475470 |
| Fax Number: | 3252473470 |
| NPI Enumeration Date: | 04/16/2013 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SL0600X |
| License Number: | 135748 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Long-Term Care |
| Taxonomy Definition: | |