OrganizationActive
Bethany Residential Care, LLC
NPI 1043963291 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Kettering, OH
Provider details
- NPI number
- 1043963291
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Albert Mukunda, Owner(207) 518-0783
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
5632 Chimney Cir
Kettering, OH 45440-4259
Phone: (207) 518-0783
Approximate (ZIP-level) locationGet directions
Mailing address
5632 Chimney Cir
Kettering, OH 45440-4259
Other names (DBA / former)
- Doing business as
- Bethany Residential Care, LLC
Registry dates
- Enumerated
- 2022-01-28
- Last updated
- 2022-01-28
- Certified
- 2022-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.