Provider Demographics
NPI:1801117486
Name:BETHESDA CHOICE STAFFING
Entity type:Organization
Organization Name:BETHESDA CHOICE STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BELLO
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:631-909-2445
Mailing Address - Street 1:3 SURREY LN
Mailing Address - Street 2:
Mailing Address - City:MANORVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11949-2536
Mailing Address - Country:US
Mailing Address - Phone:631-909-2445
Mailing Address - Fax:631-874-8592
Practice Address - Street 1:3 SURREY LN
Practice Address - Street 2:
Practice Address - City:MANORVILLE
Practice Address - State:NY
Practice Address - Zip Code:11949-2536
Practice Address - Country:US
Practice Address - Phone:631-909-2445
Practice Address - Fax:631-874-8592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care