Whalio Doctors

NPI 1053405803

Bethany Home

Organisation Nursing Facility/Intermediate Care Facility Dubuque, IA

Practice location

Address
1005 Lincoln Ave, Dubuque, IA 52001-3499
Phone
(563) 556-5233
Fax
(563) 556-3078

Authorised official

Name
Glinda Lee Manternach
Title
Administrator
Phone
(563) 556-5233

Registered specialties

Nursing Facility/Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence N-307 (IA)

Registry record

NPI
1053405803
Entity type
Organization
NPI issued
3 Oct 2006
Record last updated
9 Oct 2008

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.