Healthcare Provider Details

I. General information

NPI: 1518977149
Provider Name (Legal Business Name): BETTEC LLL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 8TH ST
BAKERSFIELD CA
93304-2123
US

IV. Provider business mailing address

17054 ROSEDALE HWY
BAKERSFIELD CA
93314-9485
US

V. Phone/Fax

Practice location:
  • Phone: 661-334-2200
  • Fax: 661-334-2212
Mailing address:
  • Phone: 661-589-8443
  • Fax: 661-589-8408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. RONALD D O'HAVER
Title or Position: OWNER
Credential:
Phone: 661-589-8443