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Organization

ANNIE BETHEL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN AGBONIFO (MANAGER)
(817) 891-4688
Entity
Organization

Contact information

Practice address
625 KENMOOR AVE SE STE 350, GRAND RAPIDS, MI 49546-2395
(832) 403-1815
Mailing address
9106 HILLS JUNCTION CT, CYPRESS, TX 77433-0039

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
08/02/2017
Last updated
08/02/2017
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