Provider Demographics
NPI:1245508548
Name:BEEZEE CORPORATION
Entity type:Organization
Organization Name:BEEZEE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:ZWACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-851-0740
Mailing Address - Street 1:42240 GREEN WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-5183
Mailing Address - Country:US
Mailing Address - Phone:760-851-0740
Mailing Address - Fax:866-795-5670
Practice Address - Street 1:42240 GREEN WAY
Practice Address - Street 2:SUITE A
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-5183
Practice Address - Country:US
Practice Address - Phone:760-851-0740
Practice Address - Fax:866-795-5670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1000048691253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care