# BETHESDA ADULT CARE HOME LLC

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

## Provider details

- **NPI number:** 1902863608
- **Authorized official:** MRS. YVONNE L HERNANDEZ (OWNER / DIRECTOR)
- **Authorized official phone:** (954) 394-9118

## Contact information

- **Practice address:** 16639 REDWOOD WAY, WESTON, FL 33326-1512
- **Practice address phone:** (954) 394-9118
- **Practice address fax:** (954) 616-0136
- **Mailing address:** 16639 REDWOOD WAY, WESTON, FL 33326-1512
- **Mailing address phone:** (954) 394-9118
- **Mailing address fax:** (954) 616-0136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6905979 | FL | Yes |

## Other

- **Enumeration date:** 04/27/2006
- **Last updated:** 08/22/2020