Provider Demographics
NPI:1174532360
Name:EL BETHEL UNITED HOME HEALTH CARE AGENCY, L.L.C.
Entity type:Organization
Organization Name:EL BETHEL UNITED HOME HEALTH CARE AGENCY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARY
Authorized Official - Middle Name:R
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-524-2618
Mailing Address - Street 1:705 S FRANCES ST
Mailing Address - Street 2:
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-4113
Mailing Address - Country:US
Mailing Address - Phone:972-524-2618
Mailing Address - Fax:972-551-0316
Practice Address - Street 1:705 S FRANCES ST
Practice Address - Street 2:
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-4113
Practice Address - Country:US
Practice Address - Phone:972-524-2618
Practice Address - Fax:972-551-0316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health