Provider Demographics
NPI:1275135865
Name:R C BEARD ENTERPRISES LLC
Entity Type:Organization
Organization Name:R C BEARD ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:183-383-8344
Mailing Address - Street 1:2701 HENRY MOORE LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1808
Mailing Address - Country:US
Mailing Address - Phone:302-722-0552
Mailing Address - Fax:
Practice Address - Street 1:100 SPRINGBROOKE BLVD STE 137
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-3100
Practice Address - Country:US
Practice Address - Phone:833-838-3442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care