Organization
BETHANY HOME HEALTH OF LONGVIEW, LP
Active
Other names
Bethany Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY P LASSITER (CEO)
(972) 248-2441
Entity
Organization
Contact information
Practice address
1515 W PANOLA ST, CARTHAGE, TX 75633-2349
(903) 690-9669
(903) 690-9691
Mailing address
5000 LEGACY DR, SUITE 360, PLANO, TX 75024-3100
(972) 248-2441
(972) 248-2442
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922692-01
—
TX
Enumeration date
12/28/2006
Last updated
09/29/2016
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