Organization · Type 2 NPI

Bethany Home

Nursing Facility/Intermediate Care Facility · Dubuque, IA

NPI number 1053405803 Active

Practice location

1005 Lincoln Ave
Dubuque, IA 52001-3499

Fax (563) 556-3078

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XN-307 (IA)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1053405803

Bethany Home's National Provider Identifier is 1053405803, issued on Oct 3, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Dubuque, IA. The record was last updated on Oct 9, 2008.