Organization
BETHESDA HOME INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUGBENGA AYENI (ADMINISTRATOR)
(773) 428-2259
Entity
Organization
Contact information
Practice address
1420 BRUMMEL ST, EVANSTON, IL 60202-3706
(773) 428-2259
(847) 859-6227
Mailing address
1420 BRUMMEL ST, EVANSTON, IL 60202-3706
(773) 428-2259
(773) 428-2259
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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