MEDICARE: BETHESDA FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	118144	TX

General Provider Information

NPI Number	:	1992846661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETHESDA FOUNDATION

Provider Business Mailing Address
First Line	:	1103 W ARKANSAS LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-7601
Country	:	US
Telephone Number	:	817-861-4644
Fax Number	:	817-861-4669

Provider Business Practice Location Address
First Line	:	1103 W ARKANSAS LN
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-7601
Country	:	US
Telephone Number	:	817-861-4644
Fax Number	:	817-861-4669

Authorized Official
Title or Position	:	EXECUTIVE ASSISTANT
Name	:	JULIE CALLENDER
Credential	:
Telephone Number	:	719-481-5481

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	08/22/2020

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Directions to “BETHESDA FOUNDATION ” Practice Location

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