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1912421710
ANNIE BETHEL LLC
GRAND RAPIDS, MI
NPI
1912421710
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Entity Type
Organization
Authorized Contact
STEPHEN AGBONIFO
Manager
817-891-4688
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2017-08-02
Last Update Date
2017-08-02
Business Address
ANNIE BETHEL LLC
625 KENMOOR AVE SE STE 350
GRAND RAPIDS, MI 49546-2395
Phone number: 832-403-1815
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Mailing Address
ANNIE BETHEL LLC
9106 HILLS JUNCTION CT
CYPRESS, TX 77433-0039
Phone number:
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