Bethany Hh Of Prairie And Lakes, LLC
Home Health in Weatherford, TX. Organization (NPI-2).
NPI number1235474602
StatusActive
Last updated in NPPESDec 11, 2012
Details
- NPI
- 1235474602
- Entity type
- Organization (NPI-2)
- Legal business name
- Bethany Hh Of Prairie And Lakes, LLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2012
- Last updated
- Dec 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | TX | Yes |
Other names
- Bethany Home Health Services (Doing Business As)
Practice location
1320 Santa Fe Dr#200
Weatherford, TX 76086-5875
Phone 817-341-1436 · Fax 817-341-2163
Mailing address
18333 Preston RdSuite 410
Dallas, TX 75252-5466
Phone 972-248-2441 · Fax 972-248-2442
Authorized official
Bradley P. Lassiter
Ceo
9722482441
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