Organization
BETHANY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUEENCILIA EDMOND NGANDU (MANAGER)
(605) 251-6442
Entity
Organization
Contact information
Practice address
505 N DUBUQUE AVE, SIOUX FALLS, SD 57110-5792
(605) 251-6442
Mailing address
505 N DUBUQUE AVE, SIOUX FALLS, SD 57110-5792
(605) 251-6442
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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