Organization
BETHEL INDEPENDENT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE NIRVA BERNARD (OWNER)
(954) 404-2007
Entity
Organization
Contact information
Practice address
5372 NW WEST PADEN CIR, PORT ST LUCIE, FL 34986-2710
(850) 680-0320
Mailing address
5372 NW WEST PADEN CIR, PORT ST LUCIE, FL 34986-2710
(850) 680-0320
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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