Organization
BETHSON HOMEHEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BONGHOR BANGURA (OWNER)
(414) 704-6196
Entity
Organization
Contact information
Practice address
3108 PS BUSINESS CENTER DR, WOODBRIDGE, VA 22192-4258
(571) 552-3509
Mailing address
3108 PS BUSINESS CENTER DR, WOODBRIDGE, VA 22192-4258
(414) 704-6196
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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