Provider Demographics
NPI:1023739869
Name:BEALE, ARION
Entity type:Individual
Prefix:
First Name:ARION
Middle Name:
Last Name:BEALE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ARION
Other - Middle Name:
Other - Last Name:MACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8508 FARRELL DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3850
Mailing Address - Country:US
Mailing Address - Phone:202-997-8895
Mailing Address - Fax:
Practice Address - Street 1:5626 13TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-3504
Practice Address - Country:US
Practice Address - Phone:202-723-0211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant