Bethesda Lutheran Homes & Services INC

NPI #1417102070 in Aurora, Illinois

Provider Information

NPI Number: 1417102070
Entity Type: Organization
Organization Name: Bethesda Lutheran Homes & Services INC
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Nov 24, 2008
Last Updated: Nov 24, 2008

Practice Location

Address: 1205 S SPENCER ST
City: Aurora
State: Illinois
ZIP Code: 60505-5735
Phone: (630) 820-8597

Authorized Official

Name: MR. JEFFREY A KACZMARSKI
Title: CLAO
Phone: (920) 206-4406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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