Individual
MARK BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 S COTTONWOOD ST, NORTH PLATTE, NE 69101-5448
(308) 520-5275
Mailing address
407 S COTTONWOOD ST, NORTH PLATTE, NE 69101-5448
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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