Organization
BETHEL HOUSE INDEPENDENT LIVING
Active
Other names
Bethel House Independent Living
Organization subpart
No
Provider details
NPI number
Authorized official
ALTIDE F PHILOGENE (CEO)
(407) 202-0483
Entity
Organization
Contact information
Practice address
79 ALTERA CT, KISSIMMEE, FL 34758-3908
(407) 732-1360
Mailing address
79 ALTERA CT, KISSIMMEE, FL 34758-3908
(407) 732-1360
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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