Organization
BEACH HAVEN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA WYMER (CEO)
(336) 572-0040
Entity
Organization
Contact information
Practice address
4717 N CROATAN HWY STE A, KITTY HAWK, NC 27949-8906
(252) 340-3150
Mailing address
PO BOX 1227, SPARTA, NC 28675-1227
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
11/27/2023
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