Organization
BYSTENIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BERTHELOT (PRESIDENT)
(727) 642-5448
Entity
Organization
Contact information
Practice address
2521 MADRID WAY S, ST PETERSBURG, FL 33712-3933
(727) 642-5448
Mailing address
2521 MADRID WAY S, ST PETERSBURG, FL 33712-3933
(727) 642-5448
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013456900
—
FL
Enumeration date
07/07/2016
Last updated
07/07/2016
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