Organization Name: | BETHESDA LUTHERAN HOMES & SERVICES INC. |
NPI Number: | 1396959425 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN HOLTON (DIRECTOR OF ACCOUNTING) |
Mailing Address: | 2310 Elm St Saint Charles |
State: | MO US |
Postal Code: | 633011441 |
Phone Number: | 6369490308 |
Fax Number: | 6369499641 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 11/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |