Organization
BEAUMONT HOME HEALTH SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUTH LAVERNE CONSTANT RN, MSN, EDD (CEO/ADMINISTRATOR)
(361) 578-0762
Entity
Organization
Contact information
Practice address
1725 WEST CARDINAL DRIVE, BEAUMONT, TX 77705-6415
(409) 833-4632
(409) 833-2774
Mailing address
3202 SAM HOUSTON DR, VICTORIA, TX 77904-2240
(361) 578-0762
(361) 578-1567
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
003147
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003147
STATE LICENSE NUMBER
TX
05
—
023501201
—
TX
Enumeration date
06/29/2005
Last updated
09/22/2010
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