Organization
BETHLEHEM HOME HEALTH CDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND LOUIS MABION (PRESIDENT)
(816) 474-6371
Entity
Organization
Contact information
Practice address
2726 FOREST AVE, KANSAS CITY, MO 64109-1224
(816) 474-6371
(816) 842-1751
Mailing address
2726 FOREST AVE, KANSAS CITY, MO 64109-1224
(816) 474-6371
(816) 842-1751
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1085922432
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014773
—
MO
Enumeration date
02/09/2015
Last updated
02/09/2015
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