Provider Demographics
NPI:1689390494
Name:BEALS, KAROLYN R
Entity Type:Individual
Prefix:MRS
First Name:KAROLYN
Middle Name:R
Last Name:BEALS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5728 BAYBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-2406
Mailing Address - Country:US
Mailing Address - Phone:440-376-4028
Mailing Address - Fax:
Practice Address - Street 1:5728 BAYBERRY CIR
Practice Address - Street 2:
Practice Address - City:NORTH RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-2406
Practice Address - Country:US
Practice Address - Phone:440-376-4028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant