Organization
BEVERLY 811, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSLYN TAGGART (OWNER/CEO)
(707) 722-2811
Entity
Organization
Contact information
Practice address
241 W A ST, DIXON, CA 95620-3448
(707) 722-2811
Mailing address
PO BOX 1797, VACAVILLE, CA 95696-1797
(877) 796-2811
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/29/2022
Last updated
02/06/2024
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