Organization
BEACHSIDE HOME SERVICE, LLC
Active
Other names
Beachside Home Service
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ARTIS (PRESIDENT)
(843) 508-8115
Entity
Organization
Contact information
Practice address
101 E MARKET ST STE 2C, SMITHFIELD, NC 27577-3980
(919) 938-8112
Mailing address
101 E MARKET ST STE 2C, SMITHFIELD, NC 27577-3980
(919) 938-8112
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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