Organization · NPI-2
Bethesda Foundation
Assisted Living Facility · Fort Worth, TX
NPI number1689715351
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1689715351
- Entity type
- Organization (NPI-2)
- Legal business name
- Bethesda Foundation
- Organization subpart
- No
- Enumeration date
- Feb 8, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 116869 | TX | Yes |
Other names
- Bethesda Gardens (Other Name)
Practice location
5417 Altamesa BlvdFort Worth, TX 76123-2804
Phone 817-292-8886 · Fax 817-292-3128
Mailing address
5417 Altamesa BlvdFort Worth, TX 76123-2804
Phone 817-292-8886 · Fax 817-292-3128
Authorized official
Julie Callender
Sr. Vice Pesident
7194815481
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