Provider Demographics
NPI:1417508078
Name:BETHEL HELPING HANDS ASSISATED LIVING INC.
Entity Type:Organization
Organization Name:BETHEL HELPING HANDS ASSISATED LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ICRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-896-8660
Mailing Address - Street 1:11 BIG BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-4701
Mailing Address - Country:US
Mailing Address - Phone:757-896-8660
Mailing Address - Fax:757-788-7517
Practice Address - Street 1:11 BIG BETHEL RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-4701
Practice Address - Country:US
Practice Address - Phone:757-896-8660
Practice Address - Fax:757-788-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty