# BETHSON HOMEHEALTH CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1649753070
- **Authorized official:** ELIZABETH BONGHOR BANGURA (OWNER)
- **Authorized official phone:** (414) 704-6196

## Contact information

- **Practice address:** 3108 PS BUSINESS CENTER DR, WOODBRIDGE, VA 22192-4258
- **Practice address phone:** (571) 552-3509
- **Mailing address:** 3108 PS BUSINESS CENTER DR, WOODBRIDGE, VA 22192-4258
- **Mailing address phone:** (414) 704-6196

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2018
- **Last updated:** 09/12/2018