Organization
BETHANY RESIDENTIAL CARE, LLC
Active
Other names
Bethany Residential Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT K. MUKUNDA (OWNER)
(207) 518-0783
Entity
Organization
Contact information
Practice address
5632 CHIMNEY CIR, KETTERING, OH 45440-4259
(207) 518-0783
Mailing address
5632 CHIMNEY CIR, KETTERING, OH 45440-4259
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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