Organization
BETHSAIDA HOME HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS COMFORT EKPENYONG MSW (OWNER/ADMINISTRATOR)
(214) 869-8824
Entity
Organization
Contact information
Practice address
3727 DILIDO RD, SUITE 136, DALLAS, TX 75228-5531
(214) 445-0742
(214) 445-6307
Mailing address
3727 DILIDO RD, SUITE 136, DALLAS, TX 75228-5531
(214) 445-0742
(214) 445-6307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001018474
DADS
TX
05
—
2074577
—
TX
Enumeration date
03/25/2009
Last updated
01/29/2016
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