Organization
BETHANY HOME HEALTH OF LAKE JACKSON LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY P. LASSITER CEO (CEO)
(972) 248-2441
Entity
Organization
Contact information
Practice address
18333 PRESTON RD, SUITE 410, DALLAS, TX 75252-5466
(972) 248-2441
(972) 248-0773
Mailing address
207 THAT WAY ST, SUITE C, LAKE JACKSON, TX 77566-5211
(979) 297-1414
(979) 297-1818
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/29/2007
Last updated
06/15/2010
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