Organization
BETHEL HILLS INTEGRATED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBUKOLA KOMOLAFE (MEDICAL DIRECTOR)
(832) 542-3181
Entity
Organization
Contact information
Practice address
13838 S 46TH PL STE 340, PHOENIX, AZ 85044-7805
(480) 597-7903
(480) 597-7904
Mailing address
13838 S 46TH PL STE 340, PHOENIX, AZ 85044-7805
(480) 597-7903
(480) 597-7904
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251T00000X
PACE Provider Organization
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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