| NPI | 1740037761 |
|---|---|
| Former Legal Business Name | BETHANY HOME CARE LLC |
| Entity Type | Organization |
| Authorized Contact | OLUKEMI ADEYEMI Manager 317-969-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-09 |