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BETHANY HOME HEALTH LLC

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Company Details

Legal Name: BETHANY HOME HEALTH LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 22nd 2019
Expiration date: 31 Mar 2026
UBI Number: 604 419 812
ZIP code: 98201
City: Everett
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3202 COLBY AVE STE A, EVERETT, WA, 98201-4324, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 13700, MILL CREEK, WA, 98082, UNITED STATES

Contact Details

E-Mail: ACCOUNTINGBNW@BETHANYNW.ORG
Phone Number: +1 425-332-4455

Nature of Business

HOME HEALTH CARE SERVICES

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Registered Agent Information

Name Role
BETHANY OF THE NORTHWEST Registered Agent

Key Officers & Management

Name Role Address
BETHANY OF THE NORTHWEST Governing Person -
JOSEPH SCRIVENS EXECUTOR PO BOX 13700, MILL CREEK, WA, 98082-1700, UNITED STATES

National Provider Identifier

NPI Number:
1285202994
Certification Date:
2022-05-19

Authorized Person:

Name:
TRISTINE BAUGUESS
Role:
DIRECTOR OF REVENUE MANAGEMENT
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
4253324475
Fax:
4257400426
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