Organization
BETHEL INDEPENDENT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE NIRVA BERNARD (OWNER)
(954) 404-2007
Entity
Organization
Contact information
Practice address
5372 NW WEST PADEN CIR, PORT ST LUCIE, FL 34986-2710
(850) 680-0320
Mailing address
5372 NW WEST PADEN CIR, PORT ST LUCIE, FL 34986-2710
(850) 680-0320
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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