Organization
BETHESTA HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL LEON (MANAGER)
(786) 344-5492
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 120, DORAL, FL 33122-1031
(305) 629-6425
(305) 629-6426
Mailing address
2500 NW 79TH AVE STE 271, DORAL, FL 33122-1089
(305) 629-6426
(305) 629-6426
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651305100
—
FL
Enumeration date
07/24/2006
Last updated
12/11/2012
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