Organization
BETA HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA DEATO (CEO/ADMINISTRATOR)
(706) 979-2068
Entity
Organization
Contact information
Practice address
705 E VIRGINIA WAY STE D, BARSTOW, CA 92311-3955
(706) 979-2068
(760) 979-2076
Mailing address
705 E VIRGINIA WAY STE D, BARSTOW, CA 92311-3955
(706) 979-2068
(760) 979-2076
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
CA
Enumeration date
12/17/2018
Last updated
08/25/2023
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