Provider Demographics
NPI:1831660075
Name:HOOD, BEVERLY DELOISE
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:DELOISE
Last Name:HOOD
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 1:12314 HUNTINGTON VILLAGE DR # DE
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35475-4482
Mailing Address - Country:US
Mailing Address - Phone:205-399-9611
Mailing Address - Fax:
Practice Address - Street 1:12314 HUNTINGTON VILLAGE DR # DE
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35475-4482
Practice Address - Country:US
Practice Address - Phone:205-399-9611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide