Whalio Doctors

NPI 1861483240

Beth Haven Group Homes INC

Organisation Custodial Care Facility Hannibal, MO

Practice location

Address
2510 Pleasant St, Hannibal, MO 63401-2659
Phone
(573) 221-2258
Fax
(573) 221-6172
Mailing address
2500 Pleasant St, Hannibal, MO 63401-2600

Authorised official

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

Registered specialties

Custodial Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 311Z00000X

Registry record

NPI
1861483240
Entity type
Organization
NPI issued
3 Nov 2005
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.