Organization
UP NEXT DIRECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMELA BONESHA BEAVERS (OWNER)
(323) 353-8154
Entity
Organization
Contact information
Practice address
1601 W 165TH ST, COMPTON, CA 90220-4315
(323) 353-8154
Mailing address
400 CONTINENTAL BLVD STE 6084, EL SEGUNDO, CA 90245-5076
(323) 353-8154
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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