Organization
BEC PERSONAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA J DOUR NP (OWNER)
(217) 320-4086
Entity
Organization
Contact information
Practice address
3513 SUNDANCE DR, SPRINGFIELD, IL 62711-6719
(217) 320-4086
Mailing address
3513 SUNDANCE DR, SPRINGFIELD, IL 62711-6719
(217) 320-4086
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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