Provider Demographics
NPI:1275610701
Name:BEKLM HOME HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:BEKLM HOME HEALTHCARE SERVICES INC
Other - Org Name:BEKLM HOME HEALTHCARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DANCER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-374-4561
Mailing Address - Street 1:6339 SILVERY MOON CIR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75241-2640
Mailing Address - Country:US
Mailing Address - Phone:972-223-6861
Mailing Address - Fax:214-374-4561
Practice Address - Street 1:6339 SILVERY MOON CIR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75241-2640
Practice Address - Country:US
Practice Address - Phone:972-223-6861
Practice Address - Fax:214-374-4561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010815251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health