Bethesda Home Incorporated

NPI #1801780093 in Evanston, Illinois

Provider Information

NPI Number: 1801780093
Entity Type: Organization
Organization Name: Bethesda Home Incorporated
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 4, 2025
Last Updated: Jun 4, 2025

Practice Location

Address: 1420 BRUMMEL ST
City: Evanston
State: Illinois
ZIP Code: 60202-3706
Phone: (773) 428-2259

Authorized Official

Name: MR. OLUGBENGA AYENI
Title: ADMINISTRATOR
Phone: (773) 428-2259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

Additional Practice Locations

1420 Brummel St

Evanston, IL, 60202-3706

(773) 428-2259

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