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NPI Code Detail

MEDICARE: BETHEL HEALTHCARE SERVICES INC

MEDICARE: BETHEL HEALTHCARE SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1275083925
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETHEL HEALTHCARE SERVICES INC
Provider Business Mailing Address
First Line : 2046 RICHMOND HWY STE A
Second Line :
City : STAFFORD
State : VA
Zip : 22554-7276
Country : US
Telephone Number : 703-260-1229
Fax Number :
Provider Business Practice Location Address
First Line : 2046 RICHMOND HWY STE A
Second Line :
City : STAFFORD
State : VA
Zip : 22554-7276
Country : US
Telephone Number : 703-260-1229
Fax Number : 703-982-7768
Authorized Official
Title or Position : ADMINISTRATOR
Name : JOANNA ADOMAKO-HANSO
Credential :
Telephone Number : 703-296-2887
Provider Enumeration Date : 10/06/2016
Last Update Date : 10/01/2024

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Directions to “BETHEL HEALTHCARE SERVICES INC ” Practice Location

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