Provider Demographics
NPI:1457833246
Name:BETHEL SERVICES LLC
Entity Type:Organization
Organization Name:BETHEL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:IHEOMA
Authorized Official - Middle Name:CHIAMAKA
Authorized Official - Last Name:CHUKWUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-258-4123
Mailing Address - Street 1:3310 HIGHWAY 6 S STE E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-3149
Mailing Address - Country:US
Mailing Address - Phone:281-258-4123
Mailing Address - Fax:281-670-5187
Practice Address - Street 1:3310 HIGHWAY 6 S STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-3149
Practice Address - Country:US
Practice Address - Phone:281-258-4123
Practice Address - Fax:281-670-5187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care