Organization
BETHANY HOME HEALTH OF NACOGDOCHES, INC.
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
4928 NORTH ST, NACOGDOCHES, TX 75965-1878
(936) 569-2949
(936) 569-6203
Mailing address
5000 LEGACY DR, SUITE 360, PLANO, TX 75024-3100
(972) 248-2441
(972) 248-4347
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151627001
—
TX
Enumeration date
12/08/2006
Last updated
09/29/2016
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