Organization
BETHEL RESIDENTIAL CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASEBOT FASIL ABEBE (MANAGER)
(240) 437-0000
Entity
Organization
Contact information
Practice address
2909 FRIENDLYWOOD WAY, BURTONSVILLE, MD 20866-1856
(240) 437-0000
Mailing address
2909 FRIENDLYWOOD WAY, BURTONSVILLE, MD 20866-1856
(240) 437-0000
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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