Organization
BETHESDA HEALTHCARE AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH MITCHEL NASIBOYE R.N. (CEO)
(817) 849-8502
Entity
Organization
Contact information
Practice address
5232 MIRROR LAKE DR, HALTOM CITY, TX 76117-1325
(817) 849-8502
(817) 788-5774
Mailing address
5232 MIRROR LAKE DR, HALTOM CITY, TX 76117-1325
(817) 849-8502
(817) 788-5774
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010613
TX
Other
Enumeration date
05/18/2006
Last updated
07/13/2010
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