Organization
BETHANY HH OF WACO LLC
Active
Other names
Bethany Home Health of Waco LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY P. LASSITER (CEO)
(972) 248-2441
Entity
Organization
Contact information
Practice address
329 W HWY 6, SUITE B, WACO, TX 76710-5590
(254) 741-6451
(254) 741-6468
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
—
2193088-01
—
TX
Enumeration date
07/10/2009
Last updated
09/29/2016
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