# BETHANY HOME HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1225381304
- **Authorized official:** JEAN TADOUM (PRESIDENT)
- **Authorized official phone:** (317) 214-1469

## Contact information

- **Practice address:** 10514 CAMILLE CT, INDIANAPOLIS, IN 46236-8293
- **Practice address phone:** (317) 214-1469
- **Mailing address:** 10514 CAMILLE CT, INDIANAPOLIS, IN 46236-8293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/26/2012
- **Last updated:** 10/26/2012