Organization
BETHANY ADULT DAY SERVICES, LLC
Active
Other names
Bethany Adult Day Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
QUEENCILIA EDMOND EDMOND NGANDU (CEO)
(605) 251-6442
Entity
Organization
Contact information
Practice address
3321 E 26TH ST STE 4, SIOUX FALLS, SD 57103-4144
(605) 251-6488
Mailing address
505 N DUBUQUE AVE, SIOUX FALLS, SD 57110-5792
(605) 251-6442
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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