Organization
EJS HOPE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLEY WEST NURSE (OWNER)
(954) 647-7807
Entity
Organization
Contact information
Practice address
1206 33RD AVE SW, VERO BEACH, FL 32968-5050
(954) 647-7807
(772) 205-2326
Mailing address
PO BOX 650187, VERO BEACH, FL 32965-0187
(954) 647-7808
(772) 205-2326
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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