Provider Demographics
NPI:1235521469
Name:BETHEL HEALTH SERVICES,LLC
Entity type:Organization
Organization Name:BETHEL HEALTH SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MESKEREM
Authorized Official - Middle Name:
Authorized Official - Last Name:ASRESAHEGN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-704-7554
Mailing Address - Street 1:15905 WILLIS WAY
Mailing Address - Street 2:
Mailing Address - City:WOODBINE
Mailing Address - State:MD
Mailing Address - Zip Code:21797-7521
Mailing Address - Country:US
Mailing Address - Phone:301-704-7554
Mailing Address - Fax:
Practice Address - Street 1:15905 WILLIS WAY
Practice Address - Street 2:
Practice Address - City:WOODBINE
Practice Address - State:MD
Practice Address - Zip Code:21797-7521
Practice Address - Country:US
Practice Address - Phone:301-704-7554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies