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Organization

BEULAH HOME HEALTH AGENCY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VINCENT UDOSEN (PRES)
(903) 525-9037
Entity
Organization

Contact information

Practice address
3613 ROCK CREEK DR, TYLER, TX 75707-1635
(903) 525-9037
(903) 525-9076
Mailing address
3613 ROCK CREEK DR, TYLER, TX 75707-1635
(903) 525-9037
(903) 525-9076

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3368433
TX
Enumeration date
06/07/2011
Last updated
09/20/2023
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