# BEVID SENIOR CARE LLC

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

## Provider details

- **NPI number:** 1790449270
- **Authorized official:** DR. OMAR DANIELS (PRESIDENT)
- **Authorized official phone:** (864) 266-3176

## Contact information

- **Practice address:** 746 OLD SPARTANBURG HWY, WELLFORD, SC 29385-9668
- **Practice address phone:** (864) 249-0577
- **Practice address fax:** (864) 249-0727
- **Mailing address:** 746 OLD SPARTANBURG HWY, WELLFORD, SC 29385-9668
- **Mailing address phone:** (864) 266-3176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | — | NULL | — |
| 183500000X | Pharmacist | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 332U00000X | Home Delivered Meals | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/29/2021
- **Last updated:** 03/01/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7Z1183 | — | SC |