Provider Demographics
NPI:1821842964
Name:PAX BEATUS HEALTH CARE & STAFFING AGENCY INC.
Entity Type:Organization
Organization Name:PAX BEATUS HEALTH CARE & STAFFING AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:FEDELIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:KEMEMBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:339-298-9381
Mailing Address - Street 1:39 MAIN ST APT 350
Mailing Address - Street 2:
Mailing Address - City:MEDWAY
Mailing Address - State:MA
Mailing Address - Zip Code:02053-1791
Mailing Address - Country:US
Mailing Address - Phone:339-298-9381
Mailing Address - Fax:
Practice Address - Street 1:39 MAIN ST APT 350
Practice Address - Street 2:
Practice Address - City:MEDWAY
Practice Address - State:MA
Practice Address - Zip Code:02053-1791
Practice Address - Country:US
Practice Address - Phone:339-298-9381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health