Provider Demographics
NPI:1942552286
Name:BEEVA PLACE ASSISTED LIVING FACILITY
Entity Type:Organization
Organization Name:BEEVA PLACE ASSISTED LIVING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BERNEVA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:NEBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-791-6268
Mailing Address - Street 1:137 SANTIAGO ST
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1228
Mailing Address - Country:US
Mailing Address - Phone:561-791-6268
Mailing Address - Fax:561-791-6268
Practice Address - Street 1:137 SANTIAGO ST
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1228
Practice Address - Country:US
Practice Address - Phone:561-791-6268
Practice Address - Fax:561-791-6268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12193310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility