# BEAUVAIS HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588031769
- **Authorized official:** SHAWANDA WORTHY (ADMINISTRATOR)
- **Authorized official phone:** (678) 741-5315

## Contact information

- **Practice address:** 3400 CHAPEL HILL RD, SUITE 309, DOUGLASVILLE, GA 30135-1739
- **Practice address phone:** (678) 741-5315
- **Mailing address:** 3400 CHAPEL HILL RD, SUITE 309, DOUGLASVILLE, GA 30135-1739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2015
- **Last updated:** 08/24/2015