Healthcare Provider Details

I. General information

NPI: 1285022103
Provider Name (Legal Business Name): BEEBE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2014
Last Update Date: 12/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 SAVANNAH RD
LEWES DE
19958-1462
US

IV. Provider business mailing address

33665 BAY RIDGE LN
LEWES DE
19958-5381
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-3728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NW0100X
TaxonomyWomen's Hospital
License Number
License Number StateDE

VIII. Authorized Official

Name: THAILA GAY
Title or Position: REGISTERED NURSE
Credential:
Phone: 302-236-7526