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NPI Code Detail

MEDICARE: BEAUVAIS HEALTH & HOMECARE INC

MEDICARE: BEAUVAIS HEALTH & HOMECARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SH0200XHome Health Clinical Nurse Specialist
2163WH0200XHome Health Registered Nurse
3376G00000XNursing Home Administrator
4163WX0106XOccupational Health Registered Nurse
53747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1598520157
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAUVAIS HEALTH & HOMECARE INC
Provider Business Mailing Address
First Line : 9021 TAFT ST
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-4676
Country : US
Telephone Number : 954-859-6294
Fax Number : 954-859-6152
Provider Business Practice Location Address
First Line : 9021 TAFT ST
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-4676
Country : US
Telephone Number : 954-859-6294
Fax Number :
Authorized Official
Title or Position : OWNER
Name : WILDA B BEAUVAIS
Credential : MD
Telephone Number : 954-859-6294
Provider Enumeration Date : 02/13/2024
Last Update Date : 12/13/2024

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