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Organization

BETHANY SUPPORT SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA SUE MILLER (DIRECTOR)
(316) 283-0843
Entity
Organization

Contact information

Practice address
313 MUSE ST, NEWTON, KS 67114-3829
(316) 283-0843
Mailing address
313 MUSE ST, NEWTON, KS 67114-3829
(316) 283-0843

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
KS
251E00000X
Home Health Agency
1440301101
KS
251S00000X
Community/Behavioral Health Agency
3747P1801X
Personal Care Attendant
Primary
KS

Other

Enumeration date
04/10/2007
Last updated
04/10/2008
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