Organization
BETHEL SUPPORTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL MATUKE BWANG (CEO)
(973) 462-6851
Entity
Organization
Contact information
Practice address
173 KOHLER ST, PICKERINGTON, OH 43147-3401
(973) 462-6851
Mailing address
173 KOHLER ST, PICKERINGTON, OH 43147-3401
(973) 462-6851
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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