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Organization
BEAUVAIS HEALTH HOMECARE 3 INC
Active
Organization
BEAUVAIS HEALTH HOMECARE 3 INC
Active
Other names
Beauvais School of Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILDA B BEAUVAIS (OWNER/ADMINISTRATOR)
(973) 436-5862
Entity
Organization
Contact information
Practice address
111 NORTHFIELD AVE STE 208A, WEST ORANGE, NJ 07052-4730
(973) 436-5862
(973) 537-1006
Mailing address
594 SW 159TH LN, PEMBROKE PINES, FL 33027-1152
(954) 997-5842
(954) 859-6152
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
—
NULL
163WC1400X
College Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
NULL
364SS0200X
School Clinical Nurse Specialist
—
NULL
364SS0200X
School Clinical Nurse Specialist
—
—
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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