NPI 1033429683

Bethesda Lutheran Communities

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Watertown, WI

Practice location

Address: 600 Hoffmann Dr, Watertown, WI 53094-6223
Phone: (920) 261-3050

Authorised official

Name: Richard Schutte
Title: Director of Accounts Receivable
Phone: (920) 206-4486

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1033429683
Entity type: Organization
NPI issued: 18 Oct 2010
Record last updated: 24 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.