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Organization
BETHESDA CARE
Active
Organization
BETHESDA CARE
Active
Other names
Keston Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUDOLPH HOOLAND (SENIOR PARTNER)
91996705070
Entity
Organization
Contact information
Practice address
11312 US 15-501 NORTH, SUITE 400 CHATHAM CROSSING, CHAPEL HILL, NC 27517
(919) 967-0507
(919) 967-1371
Mailing address
11312 US 15-501 NORTH, SUITE 400 CHATHAM CROSSING, CHAPEL HILL, NC 27517
(919) 967-0507
(919) 967-1371
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC1170
NC
253Z00000X
In Home Supportive Care Agency
Primary
HC1170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34008537
—
NC
05
—
6600279
—
NC
Enumeration date
08/07/2006
Last updated
07/11/2013
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