Organization
BEYAH CARES FOR YOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONETTE JACKSON REGISTERED NURSE (EMPLOYEE)
(602) 418-9185
Entity
Organization
Contact information
Practice address
5625 S 42ND ST, PHOENIX, AZ 85040-9029
(602) 418-9185
Mailing address
5625 S 42ND ST, PHOENIX, AZ 85040-9029
(602) 418-9185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
104100000X
Social Worker
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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