# BETHANY HOME HEALTHCARE SERVICES LLC

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

## Provider details

- **NPI number:** 1699025437
- **Authorized official:** QUEELA K TADOUM (ADMINISTRATOR)
- **Authorized official phone:** (877) 503-5225

## Contact information

- **Practice address:** 8902 OTIS AVE, STE 201B, INDIANAPOLIS, IN 46216-1077
- **Practice address phone:** (877) 503-5225
- **Mailing address:** 8902 OTIS AVE, STE 201B, INDIANAPOLIS, IN 46216-1077
- **Mailing address phone:** (877) 503-5225

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 09/03/2013