Provider Demographics
NPI:1689819567
Name:BENEDAL HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:BENEDAL HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALVINE MONIQUE
Authorized Official - Middle Name:N
Authorized Official - Last Name:METOHO-EKE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:214-683-4603
Mailing Address - Street 1:14822 BRIDLE BEND DR
Mailing Address - Street 2:
Mailing Address - City:BALCH SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75180-3638
Mailing Address - Country:US
Mailing Address - Phone:214-683-4603
Mailing Address - Fax:972-286-8088
Practice Address - Street 1:14822 BRIDLE BEND DR
Practice Address - Street 2:
Practice Address - City:BALCH SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75180-3638
Practice Address - Country:US
Practice Address - Phone:214-683-4603
Practice Address - Fax:972-286-8088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health