Bethel Independent Home Care LLC
Homemaker in Port St Lucie, FL. Organization (NPI-2).
NPI number1336976802
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1336976802
- Entity type
- Organization (NPI-2)
- Legal business name
- Bethel Independent Home Care LLC
- Organization subpart
- No
- Enumeration date
- Sep 18, 2024
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
5372 Nw West Paden CirPort St Lucie, FL 34986-2710
Phone 850-680-0320
Mailing address
5372 Nw West Paden CirPort St Lucie, FL 34986-2710
Phone 850-680-0320
Authorized official
Rose Nirva Bernard
Owner
9544042007
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