NPI 1578613931

Beth Haven Group Homes INC

Organisation Adult Care Home Facility Hannibal, MO

Practice location

Address: 14 Village Rd, Hannibal, MO 63401-6849
Phone: (573) 221-2258
Mailing address: 2500 Pleasant St, Hannibal, MO 63401-2600

Authorised official

Name: Paul Ewert
Title: Chief Executive Officer
Phone: (573) 221-2258

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1578613931
Entity type: Organization
NPI issued: 10 Jan 2007
Record last updated: 22 Aug 2020

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.