Organization
BEAUVAIS GROUP HOME INC
Active
Organization
BEAUVAIS GROUP HOME INC
Active
Other names
Beauvais Independent Living
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILDA B BEAUVAIS DO (OWNER)
(954) 859-6294
Entity
Organization
Contact information
Practice address
9021 TAFT ST, PEMBROKE PINES, FL 33024-4676
(954) 997-5842
Mailing address
594 SW 159TH LN, PEMBROKE PINES, FL 33027-1152
(954) 859-6294
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/08/2026
Last updated
08/08/2026
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