Bethlehem House Residence, INC
NPI #1962779389 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1962779389
- Entity Type
- Organization
- Organization Name
- Bethlehem House Residence, INC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Nov 30, 2011
- Last Updated
- Nov 30, 2011
Practice Location
- Address
- 130 E 30TH ST
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46205-3904
- Phone
- (317) 920-1519
Authorized Official
- Name
- MR. NATHAN L RUSH
- Title
- EXECUTIVE DIRECTOR
- Phone
- (317) 920-1519
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
| Private Vehicle |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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