Provider Demographics
NPI:1003047671
Name:BEAUTIFUL BEGINNINGS ASSISTED LIVING HOME
Entity Type:Organization
Organization Name:BEAUTIFUL BEGINNINGS ASSISTED LIVING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-418-8313
Mailing Address - Street 1:7316 W CORDES RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85043-7260
Mailing Address - Country:US
Mailing Address - Phone:623-936-5780
Mailing Address - Fax:623-337-5523
Practice Address - Street 1:7316 W CORDES RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85043-7260
Practice Address - Country:US
Practice Address - Phone:623-936-5780
Practice Address - Fax:623-337-5523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZALH7150310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility