Provider Demographics
NPI:1346832565
Name:BETHEL HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:BETHEL HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADOMAKO-HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-296-2887
Mailing Address - Street 1:47 WILTSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-5344
Mailing Address - Country:US
Mailing Address - Phone:703-296-2887
Mailing Address - Fax:
Practice Address - Street 1:47 WILTSHIRE DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-5344
Practice Address - Country:US
Practice Address - Phone:703-296-2887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health