BETHPHAGE

GRANTS, NM
NPI1538371521
Entity TypeOrganization
Authorized ContactDEAN WILSON
VP Accounting
402-896-3884
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2007-05-04
Last Update Date2020-08-22
Business Address
BETHPHAGE
920 LOBO CANYON RD SUITE 5A
GRANTS, NM 87020-2173
Phone number: 505-287-9333
Mailing Address
BETHPHAGE
4980 S 118TH ST
OMAHA, NE 68137-2220
Phone number: 402-896-3884
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