Provider Demographics
NPI:1164740296
Name:BEAUTIFUL BEGGINNINGS LLC
Entity Type:Organization
Organization Name:BEAUTIFUL BEGGINNINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KINTENIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-798-0038
Mailing Address - Street 1:228 BOUGAINVILLEA CIR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-5833
Mailing Address - Country:US
Mailing Address - Phone:334-798-0038
Mailing Address - Fax:
Practice Address - Street 1:228 BOUGAINVILLEA CIR
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-5833
Practice Address - Country:US
Practice Address - Phone:334-798-0038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0059523253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care