Bethesda Lutheran Communities

NPI #1265587356 in Shawnee Mission, Kansas

Provider Information

NPI Number
1265587356
Entity Type
Organization
Organization Name
Bethesda Lutheran Communities
Primary Specialty
Intermediate Care Facility, Mental Illness
Enumeration Date
Jan 25, 2007
Last Updated
May 11, 2017

Practice Location

Address
14150 W 113TH ST
State
Kansas
ZIP Code
66215-4819
Phone
(913) 906-5009

Authorized Official

Name
JEFFREY A. KACZMARSKI
Title
CHIEF LEGAL AFFAIRS OFFICER
Phone
(920) 206-4406

Specialties & Taxonomy Codes

Specialty
Case Management
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Intermediate Care Facility, Mental Illness

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