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36D0343445 CLIA NUMBER - BETHANY NURSING HOME

Laboratory Demographics

CLIA Number: 36D0343445

Facility Name: BETHANY NURSING HOME

Facility Address:
626 34TH ST NW
CANTON, OH
ZIP 44709
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Facility Phone Number: 330 492-7171

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1023118114

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 36D0343445
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BETHANY NURSING HOME
Street 626 34TH ST NW
City CANTON
State OH
ZIP 44709
Phone 330 492-7171
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024