Provider Demographics
NPI:1164760930
Name:BEE-HOMES SOUTH INC
Entity Type:Organization
Organization Name:BEE-HOMES SOUTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LATANYA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-963-1312
Mailing Address - Street 1:2323 PENNSYLVANIA AVE SE APT 411
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-6734
Mailing Address - Country:US
Mailing Address - Phone:410-963-1312
Mailing Address - Fax:443-681-7160
Practice Address - Street 1:2323 PENNSYLVANIA AVE SE APT 411
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-6734
Practice Address - Country:US
Practice Address - Phone:410-963-1312
Practice Address - Fax:443-681-7160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC083247200Medicaid