NPI 1043963291

Bethany Residential Care, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Kettering, OH

Practice location

Address: 5632 Chimney Cir, Kettering, OH 45440-4259
Phone: (207) 518-0783

Authorised official

Name: Albert K. Mukunda
Title: Owner
Phone: (207) 518-0783

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1043963291
Entity type: Organization
NPI issued: 28 Jan 2022
Record last updated: 28 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.