Organization
BETHANY HOME HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUEELA K TADOUM (ADMINISTRATOR)
(877) 503-5225
Entity
Organization
Contact information
Practice address
8902 OTIS AVE, STE 201B, INDIANAPOLIS, IN 46216-1077
(877) 503-5225
Mailing address
8902 OTIS AVE, STE 201B, INDIANAPOLIS, IN 46216-1077
(877) 503-5225
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/03/2013
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