# BETHEL HOUSE ATTENDANT CARE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063651685
- **Authorized official:** CHRISTINE BACCI (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (316) 771-7316

## Contact information

- **Practice address:** 4031 E HARRY ST, WICHITA, KS 67218-3724
- **Practice address phone:** (316) 771-7316
- **Mailing address:** 4031 E HARRY ST, WICHITA, KS 67218-3724
- **Mailing address phone:** (316) 771-7316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | B087150 | KS | Yes |

## Other

- **Enumeration date:** 02/05/2009
- **Last updated:** 02/05/2009