Organization
BEETON PROVIDER SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE HAMM MBA (ADMINISTRATOR)
(614) 529-6562
Entity
Organization
Contact information
Practice address
1566 W 1ST AVE, GRANDVIEW, OH 43212-3346
(614) 529-6562
(614) 559-6619
Mailing address
1566 W 1ST AVE, GRANDVIEW, OH 43212-3346
(614) 529-6562
(614) 559-6619
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2507540
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187033
—
OH
Enumeration date
07/29/2016
Last updated
07/29/2016
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