Healthcare Provider Details

I. General information

NPI: 1598491227
Provider Name (Legal Business Name): BEBOP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2022
Last Update Date: 07/26/2022
Certification Date: 07/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1429 E 252ND ST
EUCLID OH
44117-1208
US

IV. Provider business mailing address

1429 E 252ND ST
EUCLID OH
44117-1208
US

V. Phone/Fax

Practice location:
  • Phone: 216-200-5880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: BELINDA BROWN
Title or Position: OWNER
Credential:
Phone: 216-200-5880