| NPI | 1154364552 |
|---|---|
| Doing Business As | BETHANY HOUSE |
| Entity Type | Organization |
| Authorized Contact | EDMUND J FITZGERALD Executive Director 508-679-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |