Organization
FIFTY TWO B.E.A.M.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA EILEEN HUMES RN, IBCLC (CEO)
(574) 850-0143
Entity
Organization
Contact information
Practice address
2109 E 100 N, FOWLER, IN 47944-8508
(574) 850-0143
Mailing address
PO BOX 52, FOWLER, IN 47944-0052
(574) 850-0143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
163WM0102X
Maternal Newborn Registered Nurse
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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