Organization · NPI-2

Bethel Independent Home Care LLC

Day Training, Developmentally Disabled Services · Port St Lucie, FL

NPI number1891677514
StatusActive
Last updated in NPPESJul 23, 2025

Details

NPI
1891677514
Entity type
Organization (NPI-2)
Legal business name
Bethel Independent Home Care LLC
Organization subpart
No
Enumeration date
Jul 23, 2025
Certification date
Jul 23, 2025
Last updated
Jul 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes

Practice location

5372 Nw West Paden Cir
Port St Lucie, FL 34986-2710

Phone 850-680-0320

Mailing address

5372 Nw West Paden Cir
Port St Lucie, FL 34986-2710

Phone 850-680-0320

Authorized official

Rose Nirva Bernard
Owner
9544042007

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