Organization
BETHANY HH OF PRAIRIE AND LAKES, LLC
Active
Other names
Bethany Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY P. LASSITER (CEO)
(972) 248-2441
Entity
Organization
Contact information
Practice address
1320 SANTA FE DR, #200, WEATHERFORD, TX 76086-5875
(817) 341-1436
(817) 341-2163
Mailing address
18333 PRESTON RD, SUITE 410, DALLAS, TX 75252-5466
(972) 248-2441
(972) 248-2442
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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