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Organization
ANNIE BETHEL LLC
Active
Organization
ANNIE BETHEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN AGBONIFO (MANAGER)
(817) 891-4688
Entity
Organization
Contact information
Practice address
625 KENMOOR AVE SE STE 350, GRAND RAPIDS, MI 49546-2395
(832) 403-1815
Mailing address
9106 HILLS JUNCTION CT, CYPRESS, TX 77433-0039
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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