Organization
BETHEL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MBONGHO (PRESIDENT)
(302) 724-1546
Entity
Organization
Contact information
Practice address
3216 SE GRANT ST, ANKENY, IA 50021-9472
(302) 724-1546
Mailing address
300 8TH ST SE UNIT 162, ALTOONA, IA 50009-7002
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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