# BETHLEHEM HOME HEALTH CDS, INC

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

## Provider details

- **NPI number:** 1598156846
- **Authorized official:** RAYMOND LOUIS MABION (PRESIDENT)
- **Authorized official phone:** (816) 474-6371

## Contact information

- **Practice address:** 2726 FOREST AVE, KANSAS CITY, MO 64109-1224
- **Practice address phone:** (816) 474-6371
- **Practice address fax:** (816) 842-1751
- **Mailing address:** 2726 FOREST AVE, KANSAS CITY, MO 64109-1224
- **Mailing address phone:** (816) 474-6371
- **Mailing address fax:** (816) 842-1751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1085922432 | MO | Yes |

## Other

- **Enumeration date:** 02/09/2015
- **Last updated:** 02/09/2015