Organization
BETHANY HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE A IJEH (ADMINISTRATOR)
(409) 840-5555
Entity
Organization
Contact information
Practice address
5733 MEL SHA LN, BEAUMONT, TX 77705-6806
(409) 840-5555
Mailing address
5733 MEL SHA LN, BEAUMONT, TX 77705-6806
(409) 840-5555
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801798096
SECRETARY OF STATE
TX
Enumeration date
07/15/2013
Last updated
10/01/2015
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