NPI 1982790416

Bethesda Lutheran Homes and Services, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Watertown, WI

Practice location

Address: 700 Hoffmann Dr, Watertown, WI 53094
Phone: (920) 261-3050

Authorised official

Name: Jeffrey A. Kaczmarski
Title: Chief Legal Affairs Officer
Phone: (920) 206-4406

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 1060 (WI)

Other Intermediate Care Facility, Intellectual Disabilities providers in Wisconsin →

Registry record

NPI: 1982790416
Entity type: Organization
NPI issued: 4 Oct 2006
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.