Organization
BEAUVAIS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWANDA WORTHY (ADMINISTRATOR)
(770) 652-8317
Entity
Organization
Contact information
Practice address
1400 COMMERCE BLVD, SUITE 11, ANNISTON, AL 36207-9451
(770) 652-8317
Mailing address
1400 COMMERCE BLVD, SUITE 11, ANNISTON, AL 36207-9451
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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