NPI | 1356344154 |
---|---|
Doing Business As | BETHANY PLACE |
Entity Type | Organization |
Authorized Contact | STEVEN J LANGE President 972-906-7391 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 4009) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2020-08-22 |