Organization
BETHANY HH OF WEATHERFORD, LLC
Active
Other names
Bethany Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY P. LASSITER (CEO)
(972) 248-2441
Entity
Organization
Contact information
Practice address
1320 SANTA FE DR, #200, WEATHERFORD, TX 76086-5875
(817) 341-1436
(817) 341-2163
Mailing address
5000 LEGACY DR, SUITE 360, PLANO, TX 75024-3100
(972) 248-2441
(972) 248-0773
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3345365-01
—
TX
Enumeration date
07/13/2012
Last updated
09/29/2016
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