MEDICARE: BEAN FAMILY ENTERPRISES

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	WSL00111	RI

General Provider Information

NPI Number	:	1912299686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEAN FAMILY ENTERPRISES

Provider Business Mailing Address
First Line	:	PO BOX 1417
Second Line	:
City	:	BELTON
State	:	TX
Zip	:	76513-5417
Country	:	US
Telephone Number	:	254-939-7171
Fax Number	:	254-939-2700

Provider Business Practice Location Address
First Line	:	50 ALBANY RD
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02888-2102
Country	:	US
Telephone Number	:	401-781-3936
Fax Number	:	401-781-3946

Authorized Official
Title or Position	:	VICE PRESIDENT/OWNER
Name	:	MRS. LYNDA RHEA BEAN
Credential	:	RDH
Telephone Number	:	254-939-7171

Provider Enumeration Date	:	05/12/2011
Last Update Date	:	12/12/2019

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Directions to “BEAN FAMILY ENTERPRISES ” Practice Location

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