Organization
BETHESDA, INCORPORATED
Active
Other names
The Potter's Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
KEHINDE ROMOKE AMOSUN RN (ADMINISTRATOR/DON)
(972) 420-0741
Entity
Organization
Contact information
Practice address
873 S STEMMONS FWY STE 100, LEWISVILLE, TX 75067-5351
(972) 459-9999
Mailing address
873 S STEMMONS FWY STE 100, LEWISVILLE, TX 75067-5351
(972) 459-9999
(972) 315-2065
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009725
TX
Other
Enumeration date
05/25/2006
Last updated
04/05/2019
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