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General NPI Number Information
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NPI Number | 1154892081
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Entity Type | Organization
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Legal Business Name | BETA HOME HEALTH CARE INC
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 705 E VIRGINIA WAY STE D
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City | BARSTOW
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State | CA
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Zip | 92311-3955
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Country | US
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Telephone | 706-979-2068
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Fax | 760-979-2076
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Provider Business Mailing Address
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Address Line | 705 E VIRGINIA WAY STE D
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City | BARSTOW
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State | CA
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Zip | 92311-3955
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Country | US
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Telephone | 706-979-2068
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Fax | 760-979-2076
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | MARISSA DEATO
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Credential |
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Telephone | 706-979-2068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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