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Organization

BETHANY HOMECARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOMARY CHAMWA NGANDU (MANAGING DIRECTOR/BOOK KEEPER)
(605) 215-4806
Entity
Organization

Contact information

Practice address
1821 E 10TH ST, SIOUX FALLS, SD 57103-1806
(605) 251-6442
Mailing address
505 N DUBUQUE AVE, SIOUX FALLS, SD 57110-5792
(605) 251-6442

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
11/01/2019
Last updated
11/01/2019
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