Organization
BEALLS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY RAY BEALL (PRESIDENT/DIRECTOR)
(903) 721-4790
Entity
Organization
Contact information
Practice address
905 EDGEWOOD DR, JACKSONVILLE, TX 75766-2705
(903) 721-4790
Mailing address
402 S RAGSDALE ST, SUIT 203, JACKSONVILLE, TX 75766-4993
(903) 721-4790
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
TX
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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